Jonathan David Gildin, PA
Physician Assistant, Medical in Fort Lauderdale, FL. Individual provider (NPI-1).
NPI number1972804557
StatusActive
Last updated in NPPESApr 3, 2024
Details
- NPI
- 1972804557
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jonathan David Gildin
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 12, 2010
- Certification date
- Apr 3, 2024
- Last updated
- Apr 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA9105788 | FL | Yes |
Practice location
1625 Se 3rd Ave Ste 300Fort Lauderdale, FL 33316-2521
Phone 954-355-4665 · Fax 954-355-4881
Mailing address
1700 Nw 49th StreetSuite 125
Fort Lauderdale, FL 33309-3763
Phone 954-355-4665 · Fax 954-355-4881
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