Fardette, Petrine

Fardette, Petrine is an individual health care provider with primary practice located at 3000 Bayview Dr , Fort Lauderdale FL 33306-1772. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Fardette, Petrine can be contacted via phone (954) 567-1332.

Contact Information

Primary practice address
3000 Bayview Dr Fort Lauderdale FL 33306-1772
Phone: (954) 567-1332
Fax: (954) 537-7705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X ME0044395 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA3368 Florida

Profile Details

NPI number 1205858719
LBN Legal business name Fardette, Petrine
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Oct 8th, 2019 - about 5 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 1205858719 NPPES
Florida MEDICAID 290935900

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