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

Mirna Antonieta Waidele, PA

Individual provider Medical Physician Assistant · NPI 1013938778

Mirna Antonieta Waidele, PA is a Medical Physician Assistant in Boca Raton, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7100 W Camino Real Ste 200
Boca Raton, FL 33433-5510
Phone: (561) 391-6552
Fax: (561) 391-6285
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9101003 (FL)

Record details

NPI number1013938778
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESDecember 20, 2016

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