Provider Demographics
NPI:1588223176
Name:SAYEGH, BIANCA (PA C)
Entity Type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:SAYEGH
Suffix:
Gender:F
Credentials:PA C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3465 GALT OCEAN DR
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-7077
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3465 GALT OCEAN DR STE 101
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-7077
Practice Address - Country:US
Practice Address - Phone:954-566-7775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-07
Last Update Date:2023-06-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant