Individual
GABRIELLE ENEMAN-BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 924-7000
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(305) 940-6016
(305) 940-6167
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105117
FL
363AM0700X
Medical Physician Assistant
PA9105117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007713400
—
FL
Enumeration date
10/20/2011
Last updated
07/26/2023
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