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
Phone: (954) 838-2371
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992784649 | NPPES |
Florida | MEDICAID | 758996400 |
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