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Shayna Fasanella
NPI 1407349384 · on the registry since 2018
Practice
- Address
- 5540 Pga Blvd Ste 200
Palm Beach Gardens, FL 33418 - Phone
- (561) 571-4000
- Fax
- (561) 491-2271
- Organisation at this address
- Mefl, Llc
Ahava-5772, Llc
David A Lickstein Md LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Also registered as
- Medical Physician Assistant
- Licence states on file
- MI, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-01-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida