Provider Demographics
NPI:1689972440
Name:NANTES, SONDRA E (PA-C)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:E
Last Name:NANTES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 ROYAL PALM WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480-4325
Mailing Address - Country:US
Mailing Address - Phone:561-560-7600
Mailing Address - Fax:
Practice Address - Street 1:324 ROYAL PALM WAY STE 100
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480-4325
Practice Address - Country:US
Practice Address - Phone:561-560-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9114788363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical