Petrine Fardette in Fort Lauderdale - Surgical

Petrine Fardette - NPI 1205858719

Petrine Fardette is a Surgical in Fort Lauderdale, Florida. Petrine Fardette practices all healthcare services and medical treatments related to Surgical. The NPI Number for Petrine Fardette is 1205858719. The last update date is 2019-10-08.

Petrine Fardette's current location address is 3000 Bayview Dr, Fort Lauderdale, Florida. You can contact this provider via phone number 9545671332 and fax number 9545377705. The mailing address for Petrine Fardette is 3000 Bayview Dr, Fort Lauderdale, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Petrine Fardette
Address 3000 Bayview Dr, Fort Lauderdale, Florida
Phone Number 9545671332
Fax Number 9545377705
Sole Proprietor N
Credentials PA C

NPI Number Detail

NPI Number 1205858719
Provider Enumeration Date 2006-07-24
Last Updated Date 2019-10-08

Provider Mailing Address Detail

Address 3000 Bayview Dr
City Fort Lauderdale
State Florida (FL)
Post Code 333061772
Phone Number 9545671332
Fax Number 9545377705

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA3368
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
290935900 FL --

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FAQs about Petrine Fardette

What is the unique 10-digit identification code issued to Petrine Fardette by the Centers for Medicare & Medicaid Services?

The Petrine Fardette has been assigned the NPI (National Provider Identifier) 1205858719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Petrine Fardette?

The Petrine Fardette is situated at 3000 Bayview Dr, in the city of Fort Lauderdale, state of FL, with the zip code 333061772.

What is Petrine Fardette's area of expertise and its corresponding taxonomy classification?

The Petrine Fardette's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.

On what date was the 1205858719 assigned to Petrine Fardette?

The Petrine Fardette was issued its 1205858719 on 2006-07-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Petrine Fardette's details last updated?

The information pertaining to the Petrine Fardette, including its address, specialty, and other details, was most recently updated on 2019-10-08.

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