Gardens, Jose B

Gardens, Jose B is an individual health care provider with primary practice located at 1613 Harrison Pkwy #200, Sunrise FL 33323-2853. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gardens, Jose B can be contacted via phone (954) 838-2371.

Contact Information

Primary practice address
1613 Harrison Pkwy #200 Sunrise FL 33323-2853
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100180 Florida

Profile Details

NPI number 1992784649
LBN Legal business name Gardens, Jose B
Credentials PA, CHE.ABQAURP.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Oct 13th, 2023 - about last year

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 1992784649 NPPES
Florida MEDICAID 758996400

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