Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Marzouka-Fernandez

Individual provider Physician Assistant · NPI 1639824972

Kelly Marzouka-Fernandez is a Physician Assistant in Palmetto Bay, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022
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Practice location Address checks out

8425 SW 156th St
Palmetto Bay, FL 33157-2164
Phone: (305) 878-0393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115692 (FL)

Record details

NPI number1639824972
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 15, 2022
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022

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