Provider Demographics
NPI:1750429155
Name:COMBS, KARLA MARINA (MPAS, PA-C)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MARINA
Last Name:COMBS
Suffix:
Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:9100 S DADELAND BLVD STE 1500
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7816
Mailing Address - Country:US
Mailing Address - Phone:415-520-6633
Mailing Address - Fax:415-520-6633
Practice Address - Street 1:10775 PIONEER TRL STE 215
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-0234
Practice Address - Country:US
Practice Address - Phone:415-424-4266
Practice Address - Fax:415-520-6633
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2023-09-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA04786363A00000X
CA63230363A00000X
FLPA9114501363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX361759901Medicaid
TX518146YK8QOtherMEDICARE