Provider Demographics
NPI:1083127922
Name:GANDHI, ALMIRA JAYNE (PA)
Entity Type:Individual
Prefix:
First Name:ALMIRA
Middle Name:JAYNE
Last Name:GANDHI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 NW 4TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5633
Mailing Address - Country:US
Mailing Address - Phone:315-404-3586
Mailing Address - Fax:
Practice Address - Street 1:4015 NW 4TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5633
Practice Address - Country:US
Practice Address - Phone:315-404-3586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2721363A00000X
FLPA11009330363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant