Petrine Fardette (NPI# 1205858719, PAC ID# 6709770035) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1205858719 |
| PAC ID by PECOS | 6709770035 |
| Professional Enrollment ID | I20040209001052 |
| Full Name | Petrine Fardette |
| Organization Legal Name | SOUTH FLORIDA SPINE CLINIC INC |
| Address |
3000 Bayview Dr Ft Lauderdale FL 33306-1772 |
| Phone Number | 9543931708 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1997 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2769416718 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100073 | HOLY CROSS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 | 9543931708 | SOUTH FLORIDA SPINE CLINIC INC |
| Organization Legal Name | SOUTH FLORIDA SPINE CLINIC INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priscila Gamiotea | Physician Assistant | South Florida Spine Clinic Inc | 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 |
| Jeffrey Cantor | Orthopedic Surgery | South Florida Spine Clinic Inc | 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 |
| Lauren J Winsten | Physician Assistant | South Florida Spine Clinic Inc | 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 |
| Anthony T Giuffrida | Pain Management | South Florida Spine Clinic Inc | 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 |
| John W Booher | Physician Assistant | South Florida Spine Clinic Inc | 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 |
| Street Address |
3000 BAYVIEW DR |
| City | FT LAUDERDALE |
| State | FL |
| Zip | 33306-1772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Priscila Gamiotea | Physician Assistant | South Florida Spine Clinic Inc | 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 |
| Aaron Santiso | Physical Therapy | 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 | |
| Jeffrey Cantor | Orthopedic Surgery | South Florida Spine Clinic Inc | 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 |
| Lauren J Winsten | Physician Assistant | South Florida Spine Clinic Inc | 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 |
| Anthony T Giuffrida | Pain Management | South Florida Spine Clinic Inc | 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 |
| John W Booher | Physician Assistant | South Florida Spine Clinic Inc | 3000 Bayview Dr, Ft Lauderdale, FL 33306-1772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darin L Bush | Family Medicine | 3101 N Federal Hwy, Suite 201, Oakland Park, FL 33306-1041 | |
| David W Moskowitz | Internal Medicine | Caps Medical Management LLC | 3471n Federal Hwy 202, Fort Lauderdale, FL 33306-1048 |
| Debra J Tantillo | Clinical Social Worker | 3471 N Federal Hwy, Suite 205, Ft Lauderdale, FL 33306-1048 | |
| Tony M Momeni | Family Medicine | Amicus Medical Center LLC | 3471 N Federal Hwy, Suite 202, Fort Lauderdale, FL 33306-1048 |
| Peter Jon Simon | Plastic and Reconstructive Surgery | 3201 N Federal Hwy, Suite 302, Fort Lauderdale, FL 33306-1060 | |
| Donna L Watson | Chiropractic | 2034 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1107 | |
| Gregory Schachtman | Optometry | 2140 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1109 | |
| Yvrose Olivier | Nurse Practitioner | Florida Practitioners, LLC | 1995 E Oakland Park Blvd, Suite 250, Fort Lauderdale, FL 33306-1149 |
| John H Bascome | Optometry | Broward Eyecare Associates | 2502 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1601 |
| Paul Klein | Optometry | Broward Eyecare Associates | 2502 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1601 |
| Find all physicians in zip 33306 | |||
| City | FT LAUDERDALE |
| Zip Code | 33306 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FT LAUDERDALE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Petrine Fardette.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.