MRS. JACKELINE ANDREA MARX


Address: 7700 W Sunrise Blvd, Plantation, FL 33322-4113
Phone: 8004372672

MRS. JACKELINE ANDREA MARX (NPI# 1053927962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053927962
Entity Type Individual
Full Name MRS. JACKELINE ANDREA MARX
Credential CAA
Practice Address 7700 W Sunrise Blvd
Plantation
FL 33322-4113
Mailing Address 3654 Nw 85th Ter
Pembroke Pines
FL 33024-5100
Practice Telephone 8004372672
Mailing Telephone 3053161406
Enumeration Date 2020-09-17
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant 615 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7700 W SUNRISE BLVD
City PLANTATION
State FL
Zip Code 33322-4113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962446062 Barbara Joann Schulz Registered Nurse 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2006-06-16
1801403951 Kristy Monglan Nguyen Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-09-23
1306451521 Tiffany Nicole Rodriguez Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-09-14
1851905319 Mehdi Zolnoor Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-09-02
1497386684 Melissa Gayle Hernandez Registered Nurse 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-01-28
1780224493 Alecia Petrenia Williams Nurse Anesthetist, Certified Registered 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-01-10
1649810706 Pedro Angel Salas Nurse Anesthetist, Certified Registered 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-01-07
1740829852 Oscar L Ruque Registered Nurse 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-01-06
1528607660 Ancy Rupin Registered Nurse 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-01-06
1336788660 Nicholas Garrett Balzen Nurse Anesthetist, Certified Registered 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891318689 Aviva Care Pharmacy LLC Pharmacy 2053 North University Drive, Sunrise, FL 33322 2020-05-27
1225658867 Einbar Hazan Anesthesiology 7700 Sunrise Blvd, Plantation, FL 33322 2020-04-23
1598305781 Rxspeck's LLC Technician/Technologist 1860 N Pine Island Rd, 105, Plantation, FL 33322 2020-01-15
1285131771 Ninoska Del Valle Perez Enez Dentist 8320 W Sunrise Blvd Plantation, Plantation, FL 33322 2018-04-10
1134644537 Gregs Recovery Group Substance Abuse Rehabilitation Facility 2045 N University Drive, Sunrise, FL 33322 2017-08-07
1538699640 Enriquillo Bencosme Contractor 9350 Sunrise Lakes Blvd. Apt.110, Sunrise, FL 33322 2017-06-13
1346789633 Herline Saintcius Occupational Therapy Assistant 2720 North Pines Rd Apt 107, Sunrise, Surise, FL 33322 2017-02-20
1649719378 Dana Malzahn Nurse Anesthetist, Certified Registered 7700 West Sunrise Blvd, Plantation, FL 33322 2017-02-14
1548614134 Melissa Bridges Counselor 8551 Sunrise Blvd, Suite 206, Plantation, FL 33322 2016-04-20
1386005353 Laura Hutira Physical Therapist 1825 N Pine Island Rd, Plantation, FL 33322 2016-03-17
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Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801403951 Kristy Monglan Nguyen Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-09-23
1306451521 Tiffany Nicole Rodriguez Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-09-14
1851905319 Mehdi Zolnoor Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2020-09-02
1730724857 Joseph H Brannon Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2019-11-13
1164072583 Francis Lanzana Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2019-09-17
1821566993 Daniel Hauth Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2018-11-07
1609357037 Jared Fitzgerald Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2018-08-23
1598242315 Julian Salazar Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2018-07-24
1821508680 Tamara Butterworth Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2017-10-06
1295286771 Jacob Cerny Anesthesiologist Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2016-10-19
Find all providers in PLANTATION

Competitor

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City PLANTATION
Zip Code 33322

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Dataset Information

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.

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