PETRINE FARDETTE (NPI# 1205858719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205858719 |
Entity Type | Individual |
Full Name | PETRINE FARDETTE |
Other Name | PETRINE HINRICHSEN |
Credential | PA C |
Practice Address |
3000 Bayview Dr Fort Lauderdale FL 33306-1772 |
Practice Telephone | 9545671332 |
Practice Fax Number | 9545377705 |
Mailing Telephone | 9545671332 |
Mailing Fax Number | 9545377705 |
Enumeration Date | 2006-07-24 |
Last Update Date | 2019-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | ME0044395 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3368 | FL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 290935900 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3401 Pga Blvd, Suite 500, Palm Beach Gardens, FL 334102823 | 5616947776 | 5617768486 |
Street Address |
3000 BAYVIEW DR |
City | FORT LAUDERDALE |
State | FL |
Zip Code | 33306-1772 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548811094 | Hayley Bomwell | Physician Assistant | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2019-09-26 |
1992276067 | Cantor Spine Institute LLC | Orthopaedic Surgery | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2018-12-16 |
1205327749 | Priscila Marie Gamiotea | Physician Assistant | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2018-05-21 |
1346757515 | Austin Bruhl | Physical Therapist | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2018-01-09 |
1518338516 | Lauren Jennie Winsten | Physician Assistant | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2015-10-15 |
1033513494 | Blue Water Pain Solutions, Pa | Anesthesiology | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2014-10-14 |
1740624451 | Anthony T Giuffrida | Physical Medicine & Rehabilitation | 3000 Bayview Dr, Fort Lauderdale, FL 33306 | 2013-04-24 |
1417183195 | Katherine Reyes Prendes | Nurse Practitioner | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2009-06-08 |
1245252154 | Aaron Richard Santiso | Physical Therapist | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568927705 | Peaceful Prana Therapy, LLC | Social Worker | 2300 E Oakland Pk Blvd, Ste 206, Plantation, FL 33306 | 2019-02-01 |
1215429717 | Pain Treatment Specialists | Pain Medicine | 2601 E Oakland Park Blvd Ste 200, Fort Lauderdale, FL 33306 | 2018-05-31 |
1740779735 | Complete Family Dentistry, LLC | Dentist | 3015 Bayview Drive Suite B, Fort Lauderdale, FL 33306 | 2018-05-04 |
1104281856 | Raiselle Gittler | Massage Therapist | 4640 E Federal Hwy, Suite F, Fort Lauderdale, FL 33306 | 2015-12-23 |
1952703308 | Joseph Carlo Pastura | Dentist | 3051 N. Federal Hwy, Ft. Lauderdale, FL 33306 | 2014-09-17 |
1679857247 | Massage Therapy By Rina Richard Inc. | Massage Therapist | 2881 East Oakland Park Blvd. Ste # 113, Fort Lauderdale, FL 33306 | 2011-09-30 |
1467757393 | Paramount Wellness Group LLC | Chiropractor | 2745 E. Oakland Park Blvd., Fort Lauderdale, FL 33306 | 2011-01-25 |
1679800684 | Marcia Lynne Sills | Internal Medicine | 2741 Ne 34th Street, Fort Lauderdale, FL 33306 | 2009-11-11 |
1518133479 | Christopher M Schloss | Dentist | 2916 Bayview Drive, Fort Lauderdale, FL 33306 | 2008-05-01 |
1497926687 | Glenn Ross Caddy | Psychologist | 3101 North Federal Highway, Suite 301, Ft. Lauderdale, FL 33306 | 2008-03-17 |
Find all providers in zip 33306 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154885010 | Chelsea Sophia Zaccario | Physician Assistant | 1625 Se 3rd Ave # 300, Fort Lauderdale, FL 33316-2521 | 2019-01-24 |
1598272726 | Elizabeth Vukelich Austin | Physician Assistant | 1625 Se 3rd Ave # 723, Fort Lauderdale, FL 33316-2521 | 2018-01-09 |
1265805386 | Sandra Lynn Freymuth | Physician Assistant | 6211 Nw 34th Ave, Fort Lauderdale, FL 33309-1602 | 2015-11-11 |
1073526513 | Toribio Castillo | Physician Assistant | 6550 North Federal Highway, Ste 512, Fort Lauderdale, FL 33308-1417 | 2006-08-14 |
1023017704 | Kathy Ann Zimmer | Physician Assistant | 6550 N Federal Hwy, Suite 512, Fort Lauderdale, FL 33308-1404 | 2005-07-15 |
1780247189 | Oceanside Elite Surgical Assisting, LLC | Physician Assistant | 3319 Ne 15th Ct, Fort Lauderdale, FL 33304-1709 | 2019-04-21 |
1306321781 | Marissa Ziegler | Physician Assistant | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2018-10-01 |
1205327749 | Priscila Marie Gamiotea | Physician Assistant | 3000 Bayview Dr, Fort Lauderdale, FL 33306-1772 | 2018-05-21 |
1518466333 | Andrew Michael Walters | Physician Assistant | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2018-02-07 |
1235589334 | Dock and Roll LLC | Physician Assistant | 6211 Nw 34th Ave, Fort Lauderdale, FL 33309-1602 | 2016-06-20 |
Find all providers in FORT LAUDERDALE |
City | FORT LAUDERDALE |
Zip Code | 33306 |
Please comment or provide details below to improve the information on PETRINE FARDETTE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.