David Gratia, Sherley Mardel

David Gratia, Sherley Mardel is an individual health care provider with primary practice located at 4777 N Congress Ave , Boynton Beach FL 33426-7941. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. David Gratia, Sherley Mardel can be contacted via phone (561) 425-5085.

Contact Information

Primary practice address
4777 N Congress Ave Boynton Beach FL 33426-7941
Phone: (561) 425-5085
Fax: (561) 209-5167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 9407209 Florida

Profile Details

NPI number 1144747916
LBN Legal business name David Gratia, Sherley Mardel
Credentials PNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2017
Last updated Jan 3rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144747916 NPPES
Florida MEDICAID 102092000

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