Fleuranvil, Geralda Phanor

Fleuranvil, Geralda Phanor is an sole proprietor health care provider with primary practice located at 16751 Ne 6Th Ave , North Miami Beach FL 33162. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fleuranvil, Geralda Phanor can be contacted via phone (305) 750-1158.

Contact Information

Primary practice address
16751 Ne 6Th Ave North Miami Beach FL 33162
Phone: (305) 750-1158
Fax: (305) 705-4292
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9104039 Florida

Profile Details

NPI number 1689729733
LBN Legal business name Fleuranvil, Geralda Phanor
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jun 22nd, 2018 - about 8 years ago

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 1689729733 NPPES
Florida Other PA9104039 PA LICENSE

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