Provider Demographics
NPI:1538103304
Name:LOKITIS, CLAIRE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:
Last Name:LOKITIS
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 1:7850 NW 146 STREET
Mailing Address - Street 2:SUITE 508
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1516
Mailing Address - Country:US
Mailing Address - Phone:305-822-6000
Mailing Address - Fax:
Practice Address - Street 1:7100 W 20 AVE
Practice Address - Street 2:SUITE 513
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-825-9339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0052422085R0202X
FLPA9104037363A00000X
FLPA-9104037363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ66701Medicare UPIN
6177L1Medicare ID - Type Unspecified