Jeffrey U Banga
Individual provider Active NPI Physician Assistant · Margate, FL
NPI 1366087124 · NPPES record last updated Nov 15, 2019
Key facts
- NPI
- 1366087124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3390 Banks Rd Apt 109
Margate, FL 33063-6952 - Phone
- (903) 985-5550
- NPI assigned
- Nov 15, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
3390 Banks Rd Apt 109
Margate, FL 33063-6952
Mailing address
3390 Banks Rd Apt 109
Margate, FL 33063-6952
Phone (903) 985-5550
Other providers in Margate, FL
- Diane R Bachour
- Back in Motion Rehabilitation Inc.
- Adira Bagoon
- Kelsey Raquael Bailey
- Alyssa Marie Ball
- Barbara E. Smith, M.D.,P.a.
- Luis M Barcena Blanch
- Linette Barreras
- Angelle M Barrett
- Dianne Barrett
All providers in Margate, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.