Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laurie Fashakin, PA

Individual provider Physician Assistant · NPI 1275588063

Laurie Fashakin, PA is a Physician Assistant in Maitland, Florida. Graduated from University of Florida College of Medicine in 2004, 22 years ago. Practices with Sand Lake Dermatology Center PA, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

800 N Maitland Ave Ste 202
Maitland, FL 32751-4499
Phone: (407) 389-2020
Fax: (407) 389-2021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9102832 (FL)

Record details

NPI number1275588063
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESAugust 18, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Sand Lake Dermatology Center Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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