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

MS. Michelle K. Gough, PA-C

Individual provider Medical Physician Assistant · NPI 1730375601

MS. Michelle K. Gough, PA-C is a Medical Physician Assistant in Boca Raton, Florida. Licensed in Florida and Kansas. Registered with an NPI since 2007.

Licensed in
FL, KS
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

19615 State Road 7 Ste 32
Boca Raton, FL 33498-4700
Phone: (561) 477-7700
Fax: (561) 477-7707
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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 15-01184 (KS)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9105990 (FL)
Physician Assistant Taxonomy 363A00000X · Licence T-01568 (KS)

Record details

NPI number1730375601
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2007
Last updated in NPPESAugust 19, 2020
Certification dateAugust 19, 2020

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