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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PETRINE FARDETTE, PA C

Active

PETRINE FARDETTE, PA C is a Surgical Physician Assistant healthcare provider located in FORT LAUDERDALE, Florida. NPI 1205858719 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · FORT LAUDERDALE, FL

Registration Details

NPI Number
1205858719
Provider Type
Individual
Gender
Female
NPI Issued
Jul 24, 2006 (20.014513383642 yrs)
Last Updated
Oct 8, 2019
Licenses
ME0044395 (FL)
PA3368 (FL)

Practice Information

Address
3000 BAYVIEW DR
FORT LAUDERDALE, FL, 333061772
Browse FL providers · Browse ZIP 33306
Phone
9545671332
Fax
9545377705
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in FORT LAUDERDALE, FL

Name Credential NPI
MISS KATHY ANN ZIMMER PA 1023017704
TORIBIO CASTILLO 1073526513
JEAN L TOLSON PA-C 1023112653
MARIE J GRAVEL SOLANO PA-C 1174691869
JOSE H CERDA PA-C 1710022520
MISS WATFA EMILE KRAYSSA PA-C 1447448113
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.