Provider Demographics
NPI:1467122259
Name:TRIKOZ, NATALIA (PA-C)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:TRIKOZ
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 1:8283 BAYMEADOWS RD E APT 1201
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-3058
Mailing Address - Country:US
Mailing Address - Phone:603-557-5845
Mailing Address - Fax:
Practice Address - Street 1:201 VILLAGE OAKS DR
Practice Address - Street 2:
Practice Address - City:ST JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-3876
Practice Address - Country:US
Practice Address - Phone:904-240-0442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant