PLANTATION PAVILION OB-GYN (NPI# 1093126591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093126591 |
| Entity Type | Organization |
| Organization Name | PLANTATION PAVILION OB-GYN |
| Practice Address |
4330 W Broward Blvd Ste C Plantation FL 33317-3775 |
| Practice Telephone | 9545870351 |
| Practice Fax Number | 9549906464 |
| Mailing Telephone | 9545870351 |
| Mailing Fax Number | 9549906464 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Authorized Official Name | DR. GEORGES EDOUARD (OB-GYN) |
| Authorized Official Telephone | 9545870351 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 650305871 | 05 |
| Street Address |
4330 W BROWARD BLVD STE C |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-3775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457353948 | George Edouard | Obstetrics & Gynecology | 4330 W Broward Blvd, Suite C, Plantation, FL 33317-3775 | 2005-08-15 |
| 1407258304 | Neuropas Global LLC | Pain Medicine | 4330 W Broward Blvd, Suite F, Plantation, FL 33317-3775 | 2014-09-23 |
| 1326484320 | Wiggins & Wheeler | Case Management | 4330 W Broward Blvd, Suite R, Plantation, FL 33317-3775 | 2013-05-16 |
| 1942556782 | Arash Jahromi Dpm Pa | Podiatrist | 4330 W Broward Blvd, N, Plantation, FL 33317-3775 | 2012-07-30 |
| 1669789319 | Wheeler Wiggins, P.a. | Counselor | 4330 W Broward Blvd, Suite R, Plantation, FL 33317-3775 | 2010-09-01 |
| 1013165653 | Bradys Family Dentistry | Dentist | 4330 W Broward Blvd, Plantation, FL 33317-3775 | 2008-09-08 |
| 1427215805 | Empire Healthcare Consultants Inc. | Exclusive Provider Organization | 4330 W Broward Blvd, Suite G, Plantation, FL 33317-3775 | 2008-05-22 |
| 1295943611 | Guy A Wheeler | Counselor | 4330 W Broward Blvd, Suite R, Plantation, FL 33317-3775 | 2007-05-18 |
| 1114040664 | Arash Jahromi | Podiatrist | 4330 W Broward Blvd, Suite N, Plantation, FL 33317-3775 | 2007-04-09 |
| 1407906977 | Michael W. Brady | Dentist | 4330 W Broward Blvd, Suit T, Plantation, FL 33317-3775 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164558672 | Raymond F Hudanich Md Pa | Obstetrics & Gynecology | 6710 W Sunrise Blvd, Suite 110, Plantation, FL 33313-6066 | 2007-02-26 |
| 1326119454 | Jerold M Lynn | Obstetrics & Gynecology | 201 Nw 82nd Ave, Suite 104, Plantation, FL 33324-7808 | 2006-11-11 |
| 1508937632 | Stratton Sterghos Sr. | Obstetrics & Gynecology | 201 Nw 82nd Ave, Suite 104, Plantation, FL 33324-7808 | 2006-11-11 |
| 1659380517 | Raymond F. Hudanich | Obstetrics & Gynecology | 6710 W Sunrise Blvd, Suite 110, Plantation, FL 33313-6066 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910240 | Jeffrey M Greenberg Md Medical Services Inc | Obstetrics & Gynecology | 13324 Pond Apple Dr W, Naples, FL 34119-8556 | 2020-10-20 |
| 1497365464 | Hamel Foundation Inc | Obstetrics & Gynecology | 7777 N University Dr Ste 206, Tamarac, FL 33321-6106 | 2020-08-05 |
| 1336786466 | Manfred Emil Trostel | Obstetrics & Gynecology | 2425 Gulf of Mexico Dr Unit 8d, Longboat Key, FL 34228-3213 | 2019-12-09 |
| 1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
| 1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
| 1649748666 | Kristin M Jackson LLC | Obstetrics & Gynecology | 260 Lookout Pl Ste 201, Maitland, FL 32751-4485 | 2018-11-07 |
| 1710476239 | Yvette Pereyra Ans | Obstetrics & Gynecology | 3990 Sheridan St Ste 214, Hollywood, FL 33021-3656 | 2018-05-10 |
| 1194223800 | Vandyke Md Ob/gyn Pa | Obstetrics & Gynecology | 9161 Narcoossee Rd Ste B209, Orlando, FL 32827-5764 | 2018-01-28 |
| 1538676515 | Adam Ostrzenski | Obstetrics & Gynecology | 7001 Central Ave Ste 3, St Petersburg, FL 33710-7549 | 2017-12-29 |
| 1144735945 | Judith Watson Bradfield | Obstetrics & Gynecology | 8024 Links Way, Port St Lucie, FL 34986-3035 | 2017-12-04 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33317 |
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| 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.