Doctor Name: | MRS. JACLYN PATRICIA GALINAITIS |
NPI Number: | 1093051088 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA9106426 |
Business Practice Address: | 7225 N University Dr Suite 102 Tamarac, FL - 333212908 |
Business Phone Number: | 9547189777 |
Business Fax Number: | 9547180233 |
Mailing Address: | 7225 N University Dr, Suite 102 TAMARAC |
State: | FL |
Postal Code: | 333212908 |
Phone Number: | 9547189777 |
Fax Number: | 9547180233 |
NPI Enumeration Date: | 12/18/2012 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA9106426 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |