| Doctor Name: | MS. PAMELA ELAINE FORECKI |
| NPI Number: | 1104869460 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP1295782 |
| Business Practice Address: | 1250 Southwinds Dr Lantana, FL - 334621459 |
| Business Phone Number: | 5615476800 |
| Business Fax Number: | 5615476865 |
| Mailing Address: | 3002 Black Oak Ct, BOYNTON BEACH |
| State: | FL |
| Postal Code: | 334366604 |
| Phone Number: | 5627337302 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | ARNP1295782 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |