Provider Demographics
NPI:1528406063
Name:VISOIU, ALYSON C (PA-C)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:C
Last Name:VISOIU
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:660 GLADES RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6465
Mailing Address - Country:US
Mailing Address - Phone:561-395-9200
Mailing Address - Fax:561-347-1113
Practice Address - Street 1:660 GLADES RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-395-9200
Practice Address - Fax:561-347-1113
Is Sole Proprietor?:No
Enumeration Date:2013-06-06
Last Update Date:2018-05-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9106218363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant