Provider Demographics
NPI:1669440368
Name:GIRMONDE, BELINDA L (PA)
Entity Type:Individual
Prefix:MS
First Name:BELINDA
Middle Name:L
Last Name:GIRMONDE
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 1:1000 N OLIVE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3512
Mailing Address - Country:US
Mailing Address - Phone:561-835-2800
Mailing Address - Fax:561-835-8006
Practice Address - Street 1:1000 N OLIVE AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3512
Practice Address - Country:US
Practice Address - Phone:561-835-2800
Practice Address - Fax:561-835-8006
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9104119363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
AP1162Medicare ID - Type Unspecified
FLAE508ZMedicare UPIN
S96032Medicare UPIN