Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diana Michelle Petruk, PA-C

Individual provider Physician Assistant · NPI 1598165243

Diana Michelle Petruk, PA-C is a Physician Assistant in Fort Lauderdale, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone: (954) 355-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5900 College Rd, Key West, FL 33040-4342 — (305) 294-5531

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9108430 (FL)

Record details

NPI number1598165243
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2014
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020

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