JONIAS DESTINE (NPI# 1003118357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003118357 |
| Entity Type | Individual |
| Full Name | JONIAS DESTINE |
| Credential | PA-C |
| Practice Address |
2500 E. Hallandale Beach Blvd Suite 301 Hallandale Beach FL 33009 |
| Mailing Address |
4855 W Hillsboro Blvd Ste B2 Coconut Creek FL 33073 |
| Practice Telephone | 9544582572 |
| Practice Fax Number | 9543548151 |
| Mailing Telephone | 9544181683 |
| Mailing Fax Number | 9544181698 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2019-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9105669 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 E. HALLANDALE BEACH BLVD SUITE 301 |
| City | HALLANDALE BEACH |
| State | FL |
| Zip Code | 33009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528057197 | Joni Noel Kaighobadi | Family Medicine | 2500 E. Hallandale Beach Blvd, Suite 301, Hallandale Beach, FL 33009 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499466 | Maia Powell | Doula | 634 Nw 4th Court, Hallandale Beach, FL 33009 | 2018-09-02 |
| 1578057188 | War Network LLC | Clinic/Center | 137 Se 1st Ave, Hallandale Beach, FL 33009 | 2018-06-18 |
| 1700378742 | Vip Cardiology Center LLC | Family Medicine | 2500 E Hallandale Beach Blvd Ste 207, Hallandale Beach, FL 33009 | 2018-06-05 |
| 1831681055 | Ssd Mobility, LLC | Durable Medical Equipment & Medical Supplies | 1000 W Pembrooke Rd, Suite 303, Hallandale Beach, FL 33009 | 2018-06-04 |
| 1366943466 | Imed Advisory LLC | General Practice | 2100 E Hallandale Beach Blvd Ste 402, Hallandale Beach, FL 33009 | 2018-02-23 |
| 1891164059 | Raphael Arwas | Dentist | 1440 E. Hallandale Beach Blvd, Hallandale, FL 33009 | 2015-09-17 |
| 1083092746 | Florida Good Faith Investors LLC. | Non-emergency Medical Transport (VAN) | 1001 N Federal Hwy,ste 246, Suite 349, Hallandale Beach, FL 33009 | 2015-05-14 |
| 1235534058 | Aventura Open Mri, Inc | Clinic/Center | 815 Se 1st Avenue, Suite B, Hallandale, FL 33009 | 2014-10-23 |
| 1437578549 | Beach Club Adult Center, LLC | Clinic/Center | 2500 Hallandale Blvd, Suite T, Hallandale Beach, FL 33009 | 2014-04-16 |
| 1093142747 | Grace Maher Reynolds | Internal Medicine | 1849 South Ocean Dr. Pts 911, Hallandale Beach, FL 33009 | 2013-09-26 |
| Find all providers in zip 33009 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295219541 | Tatsiana Yarashevich | Physician Assistant | 2500 E Hallandale Beach Blvd Ste 301, Hallandale Beach, FL 33009-4835 | 2018-09-22 |
| 1962508754 | Laurie Ellis | Physician Assistant | 1750 East Hallandale Beach Blvd, Hallandale Beach, FL 33009 | 2006-09-16 |
| 1982154548 | Stacey Mcfadden | Physician Assistant | 1117 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4488 | 2016-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | HALLANDALE BEACH |
| Zip Code | 33009 |
Please comment or provide details below to improve the information on JONIAS DESTINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.