Healthcare Provider Details

I. General information

NPI: 1881501963
Provider Name (Legal Business Name): GABRIELLA MARGHERITA NAKHLA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 NW 13TH ST
BOCA RATON FL
33486-2305
US

IV. Provider business mailing address

1001 NW 13TH ST STE 201
BOCA RATON FL
33486-2269
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-4220
  • Fax: 833-626-1924
Mailing address:
  • Phone: 561-955-6663
  • Fax: 561-955-2879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA9122378
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: