Individual provider · Type 1 NPI
Eric Verfaillie, PA-C, MMS
Medical Physician Assistant · Mangonia Park, FL
NPI number
1528368263
Active
Practice location
927 45th St Ste 201
Mangonia Park, FL 33407-2450
Fax (833) 464-4215
Mailing address
5955 Ponce De Leon Blvd
Coral Gables, FL 33146-2423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9105726 (FL) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
- Kidz Medical Services Inc.Pediatric Hematology & Oncology Physician Mangonia Park, FL NPI 1336524214
- Andriel CostiucNurse Practitioner West Palm Beach, FL NPI 1144738089
- Narayana Gowda, MDPediatric Hematology & Oncology Physician Mangonia Park, FL NPI 1548250863
- Samantha Hayle Pravder, DOPediatric Gastroenterology Physician Mangonia Park, FL NPI 1083175277
Other medical physician assistant providers in Mangonia Park
About NPI 1528368263
Eric Verfaillie, PA-C, MMS's National Provider Identifier is 1528368263, issued on Oct 28, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mangonia Park, FL. The record was last updated on Aug 12, 2026.