Provider Demographics
NPI:1437918836
Name:GIRON HUINAC, HORTENCIA JANETH (PA-C)
Entity type:Individual
Prefix:
First Name:HORTENCIA
Middle Name:JANETH
Last Name:GIRON HUINAC
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1301 E BROWARD BLVD STE 240
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-2111
Mailing Address - Country:US
Mailing Address - Phone:954-983-1211
Mailing Address - Fax:954-983-4190
Practice Address - Street 1:1301 E BROWARD BLVD STE 240
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-2111
Practice Address - Country:US
Practice Address - Phone:954-983-1211
Practice Address - Fax:954-983-4190
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9118592363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant