Provider Demographics
NPI:1134518608
Name:FEROLITO, GABRIELLE ALEXANDRA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:ALEXANDRA
Last Name:FEROLITO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:GABRIELLE
Other - Middle Name:ALEXANDRA
Other - Last Name:MCKERCHIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:135 SE SPANISH TRL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-5129
Mailing Address - Country:US
Mailing Address - Phone:561-961-0218
Mailing Address - Fax:561-419-6571
Practice Address - Street 1:425 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-6027
Practice Address - Country:US
Practice Address - Phone:561-218-4926
Practice Address - Fax:561-419-6572
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9108452363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical