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

NOSHABA KHALIQ, PA

Active

NOSHABA KHALIQ, PA is a Physician Assistant healthcare provider located in NORTH VENICE, Florida. NPI 1710510813 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NORTH VENICE, FL

Registration Details

NPI Number
1710510813
Provider Type
Individual
Gender
Female
NPI Issued
Feb 17, 2020 (6.4445882542623 yrs)
Last Updated
Dec 7, 2022
License
PA9112878 (FL)

Practice Information

Address
200 HEALTHCARE WAY UNIT 103
NORTH VENICE, FL, 342753670
Browse FL providers · Browse ZIP 34275
Phone
9412610160
Fax
9412610165
Primary Specialty
Physician Assistant
363A00000X

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KAITLYN TANKERSLEY PA-C 1497594733
BILLIE M CARUSO PA 1770399974
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.