Nicole Gassman, PA-C
Physician Assistant in Miami, FL. Individual provider (NPI-1).
NPI number1982304978
StatusActive
Last updated in NPPESOct 22, 2023
Details
- NPI
- 1982304978
- Entity type
- Individual (NPI-1)
- Name
- Nicole Gassman
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2023
- Certification date
- Oct 22, 2023
- Last updated
- Oct 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601011667 | MI | Yes |
Practice location
11200 Sw 8th StMiami, FL 33199-2516
Phone 305-348-0570
Mailing address
11200 Sw 8th StMiami, FL 33199-2516
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