PHADEIGE ETIENNE
NPI 1780568840
Physician Assistant - Medical in Mount Dora, FL

Q: What is Phadeige Etienne's NPI number?

The NPI number for Phadeige Etienne is 1780568840. It was assigned to this individual provider in the NPPES registry on August 2, 2025.

Q: What is Phadeige Etienne's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Phadeige Etienne was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2025

6163 CLAYSTONE WAY, MOUNT DORA, FL 32757(754) 422-3833 Get Directions Write a Review

NPPES record last updated: August 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Phadeige Etienne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHADEIGE ETIENNE (NPI 1780568840) is an individual medical provider in Mount Dora, Florida, licensed in Florida (PACN83) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1780568840

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NamePHADEIGE ETIENNE

Location Address6163 CLAYSTONE WAYMount Dora, FL 32757-8082

Mailing Address6163 Claystone WayMount Dora, FL 32757-8082 · (754) 422-3833

Phone(754) 422-3833

Sole ProprietorNo

Enumeration DateAugust 2, 2025

NPPES CertifiedAugust 1, 2025

✔ NPI 1780568840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PACN83

6163 CLAYSTONE WAY, Mount Dora, FL 32757

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phadeige Etienne's NPI number?

The NPI number for Phadeige Etienne is 1780568840. It was assigned to this individual provider in the NPPES registry on August 2, 2025.

Where is Phadeige Etienne located?

Phadeige Etienne practices at 6163 Claystone Way, Mount Dora, FL 32757. The listed phone number is (754) 422-3833.

What is Phadeige Etienne's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Phadeige Etienne was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.