MR. MITCHELL J. SAMUELS (NPI# 1134121585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134121585 |
| Entity Type | Individual |
| Full Name | MR. MITCHELL J. SAMUELS |
| Credential | DO. |
| Practice Address |
4651 Sheridan St. Suite #270 Hollywood FL 33021-3422 |
| Practice Telephone | 9549896000 |
| Practice Fax Number | 9543784775 |
| Mailing Telephone | 9549896000 |
| Mailing Fax Number | 9543784775 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2008-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | OS5015 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 085015 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 049296500 | 05 |
| Street Address |
4651 SHERIDAN ST. SUITE #270 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902898133 | Carol Beloff | Pediatrics | 4651 Sheridan St., Suite #270, Hollywood, FL 33021-3422 | 2005-08-15 |
| 1013909290 | Enrique T Gonzalez | Pediatrics | 4651 Sheridan St., Suite #270, Hollywood, FL 33021-3422 | 2005-08-16 |
| 1407848682 | Lisa Gwynn | Pediatrics | 4651 Sheridan St., Suite #270, Hollywood, FL 33021-3422 | 2005-08-16 |
| 1134111313 | Theodore Morrison | Pediatrics | 4651 Sheridan St., Suite #270, Hollywood, FL 33021-3422 | 2005-08-16 |
| 1942292123 | Henry I Levine | Pediatrics | 4651 Sheridan St., Suite #270, Hollywood, FL 33021-3422 | 2005-08-16 |
| 1710979943 | Rachel Cyrlak | Pediatrics | 4651 Sheridan St., Suite #270, Hollywood, FL 33021-3422 | 2005-08-15 |
| 1588666861 | Nancy Chiang | Pediatrics | 4651 Sheridan St., Suite #270, Hollywood, FL 33021-3422 | 2005-08-15 |
| 1023000254 | Jacinta C Magnus | Pediatrics | 4651 Sheridan St., Suite #270, Hollywood, FL 33021-3422 | 2005-08-15 |
| 1306848759 | Kenneth J. Budowsky | Pediatrics | 4651 Sheridan St., Suite #270, Hollywood, FL 33021-3422 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871051599 | Affiliated Pediatrics of South Florida LLC | Pediatrics | 3829 Hollywood Blvd Ste A, Hollywood, FL 33021-6790 | 2019-03-12 |
| 1528428356 | Paul Winick | Pediatrics | 3501 N Ocean Dr Apt 7e, Hollywood, FL 33019-3818 | 2016-03-07 |
| 1699015552 | Karl Egerman | Pediatrics | 3650 36th Ave, #6, Hollywood, FL 33021 | 2013-02-28 |
| 1093046781 | Joseph John Angella | Pediatrics | 4291 Mangrum Ct, Hollywood, FL 33021-2419 | 2010-01-20 |
| 1508928003 | Marcy Bernstein | Pediatrics | 4430 Sheridan St, Suite B, Hollywood, FL 33021-3546 | 2006-12-14 |
| 1316024383 | Shahida Anjum | Pediatrics | 1050 Corkwood St, Hollywood, FL 33019-4880 | 2006-11-01 |
| 1780612028 | Michael Eric Weiss | Pediatrics | 3501 Johnson Streeet, Hollywood, FL 33021 | 2006-06-28 |
| 1881678290 | Jesusa Milalaine Terrado Fortu | Pediatrics | 1000 Joe Dimaggio Dr, Pediatric Emergency Department, Hollywood, FL 33021-5426 | 2005-11-30 |
| 1932196797 | Marshall D Ohring | Pediatrics | 3950 N 46th Ave, Hollywood, FL 33021-1726 | 2005-10-05 |
| 1144215310 | Maria M Almanzar | Pediatrics | 4500 Sheridan St, Hollywood, FL 33021-3516 | 2005-09-14 |
| Find all providers in HOLLYWOOD | ||||
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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.