Provider Demographics
NPI:1538965835
Name:GEOFFROY, GINA MARIE (APRN)
Entity type:Individual
Prefix:MS
First Name:GINA
Middle Name:MARIE
Last Name:GEOFFROY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:MARIE
Other - Last Name:MELIUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:234 FORTUNA DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4310
Mailing Address - Country:US
Mailing Address - Phone:561-414-7612
Mailing Address - Fax:
Practice Address - Street 1:4425 MILITARY TRL STE 212
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4817
Practice Address - Country:US
Practice Address - Phone:561-721-1112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11037572363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care