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

Phadeige Etienne

Individual provider Medical Physician Assistant · NPI 1780568840

Phadeige Etienne is a Medical Physician Assistant in Mount Dora, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

6163 Claystone Way
Mount Dora, FL 32757-8082
Phone: (754) 422-3833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PACN83 (FL)

Record details

NPI number1780568840
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2025
Last updated in NPPESAugust 2, 2025
Certification dateAugust 1, 2025
Mailing address6163 Claystone Way, Mount Dora, FL 32757-8082

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