Individual
MRS. GERALDA PHANOR FLEURANVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16751 NE 6TH AVE, NORTH MIAMI BEACH, FL 33162
(305) 750-1158
(305) 705-4292
Mailing address
16751 NE 6TH AVE, NORTH MIAMI BEACH, FL 33162-2409
(786) 564-9438
(305) 705-4292
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9104039
PA LICENSE
FL
Enumeration date
01/25/2007
Last updated
06/22/2018
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