Nicole Elyse Gentile, PA-C
Physician Assistant in Oakland Park, FL. Individual provider (NPI-1).
NPI number1073816005
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1073816005
- Entity type
- Individual (NPI-1)
- Name
- Miss Nicole Elyse Gentile
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2010
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9105794 | FL | Yes |
Practice location
4331 N Federal Hwy Ste 400Oakland Park, FL 33308-5252
Phone 954-772-0416 · Fax 954-772-5716
Mailing address
151 Southhall Ln Ste 300Maitland, FL 32751-7172
Phone 407-875-2080 · Fax 407-650-3455
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All 20 Physician Assistant providers in Oakland Park · All 1,128 providers in Oakland Park
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