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Primary Practice Address
3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306-1772 US
PECOS Enrolled

Petrine Fardette

Physician Assistant (Surgical)


Overview

Petrine Fardette is a Physician Assistant (Surgical) in the FORT LAUDERDALE area. Petrine Fardette primary office location is at 3000 BAYVIEW DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1205858719 and the information was updated approximately 5 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306-1772 US
Phone: (954)-567-1332
Fax:
Practice Mailing Information
3000 BAYVIEW DR
FORT LAUDERDALE, FL 33306-1772 US
Phone: (954)-567-1332
Fax: (954)-537-7705
License NumberState
ME0044395FL
PA3368FL
Type/IssuerIdentifierState
MEDICAID290935900FL

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes