Healthcare Provider Details

I. General information

NPI: 1841327590
Provider Name (Legal Business Name): PASCALE GEHY-ANDRE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 W OAKLAND PARK BLVD
LAUDERDALE LAKES FL
33313-1503
US

IV. Provider business mailing address

2251 DORADO AVE
DAVIE FL
33324-6317
US

V. Phone/Fax

Practice location:
  • Phone: 954-730-2838
  • Fax:
Mailing address:
  • Phone: 954-474-5107
  • Fax: 305-237-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9101996
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: