Individual
MINA GERSTENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18425 PINES BLVD, PEMBROKE PINES, FL 33029-1415
(954) 430-9300
(954) 450-2833
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(954) 430-9300
(954) 450-2833
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
PA2362
FL
363AM0700X
Medical Physician Assistant
Primary
PA2362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290341500
—
FL
Enumeration date
10/14/2005
Last updated
02/28/2018
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