Provider Demographics
NPI:1023808953
Name:PASCAL, MONDIANITA
Entity type:Individual
Prefix:
First Name:MONDIANITA
Middle Name:
Last Name:PASCAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MONDIANITA
Other - Middle Name:
Other - Last Name:RAYMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5215 NW 50TH TER
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4642
Mailing Address - Country:US
Mailing Address - Phone:954-401-9825
Mailing Address - Fax:
Practice Address - Street 1:5215 NW 50TH TER
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33319-4642
Practice Address - Country:US
Practice Address - Phone:954-401-9825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter