Individual
GEFFREY GAETAN LAPORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD , PA
Contact information
Practice address
3155 LAKE WORTH RD, PALM SPRINGS, FL 33461-6917
(561) 858-8817
Mailing address
1215 SEA PINES WAY, LANTANA, FL 33462-4248
(602) 312-0938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10345
AZ
363AM0700X
Medical Physician Assistant
1871-PA
PR
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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