Provider Demographics
NPI:1417471905
Name:BIBLIOWICZ, FELICIA ILENE (PA-C)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:ILENE
Last Name:BIBLIOWICZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 SW 97TH AVE STE 209W
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1492
Mailing Address - Country:US
Mailing Address - Phone:305-274-5700
Mailing Address - Fax:305-274-5727
Practice Address - Street 1:7000 SW 97TH AVE STE 209W
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1492
Practice Address - Country:US
Practice Address - Phone:305-274-5700
Practice Address - Fax:305-274-5727
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA1715363A00000X
FLPA9111360363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant