ELIAS JOSE MUALIN (NPI# 1134290539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134290539 |
| Entity Type | Individual |
| Full Name | ELIAS JOSE MUALIN |
| Credential | MD |
| Practice Address |
450 N Park Rd Suite 202 Hollywood FL 33021-5403 |
| Practice Telephone | 9549832101 |
| Practice Fax Number | 9549832860 |
| Mailing Telephone | 9549832101 |
| Mailing Fax Number | 9549832860 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2009-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME86605 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PARITY HEALTHCARE | 0845933 | 01 |
| FL | BCBS | 29130 | 01 |
| FL | TRICARE | 300151000 | 01 |
| FL | 266415101 | 05 | |
| FL | NHP | 994795 | 01 |
| FL | AVMED | 291529 | 01 |
| Street Address |
450 N PARK RD SUITE 202 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396754552 | Our Children Our Future, Inc. | Community/Behavioral Health | 450 N Park Rd, Suite 600, Hollywood, FL 33021-6917 | 2006-08-05 |
| 1053910406 | Angellina Nicole Dowlatram | Counselor | 450 N Park Rd, Hollywood, FL 33021-6917 | 2020-10-17 |
| 1760917611 | Lauren Alyssa Clover | Behavior Technician | 450 N Park Rd, Suite 400, Hollywood, FL 33021-6917 | 2017-04-28 |
| 1073048047 | Clara Peicher De Fleischer Pa | Counselor | 450 N Park Rd, Suite 401, Hollywood, FL 33021-6917 | 2017-04-26 |
| 1942735196 | Patricia Hodge | Behavior Technician | 450 N Park Rd, Suite 400, Hollywood, FL 33021-6917 | 2017-04-25 |
| 1346775731 | Kimberly Hines Jean Baptiste | Marriage & Family Therapist | 450 N Park Rd, Ste.600, Hollywood, FL 33021-6917 | 2017-04-24 |
| 1316480155 | Carolynn White | Marriage & Family Therapist | 450 N Park Rd, #400, Hollywood, FL 33021-6917 | 2016-11-28 |
| 1982089868 | Gold Standard Rx LLC | Pharmacy | 450 N Park Rd, Suite 302, Hollywood, FL 33021-6917 | 2015-07-21 |
| 1255754958 | Brittany Thigpen | Music Therapist | 450 N Park Rd, Suite 400, Hollywood, FL 33021-6917 | 2014-01-31 |
| 1457645103 | Cheryl A. Luis, Phd, Abpp-cn, Pa | Community/Behavioral Health | 450 N Park Rd, Suite 502, Hollywood, FL 33021-6917 | 2011-05-30 |
| Find all providers in the same location | ||||
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1982095352 | William Jason Shure | Obstetrics & Gynecology | 1047 S Southlake Dr, Hollywood, FL 33019-1948 | 2015-02-06 |
| 1205276854 | Edward Jay Zelnick | Obstetrics & Gynecology | 3620 N 52nd Ave, Hollywood, FL 33021-2248 | 2013-06-27 |
| 1982047734 | Simone Delecia West | Obstetrics & Gynecology | 1150 N 35th Ave Ste 405, Hollywood, FL 33021-5429 | 2013-04-11 |
| 1073812954 | Florida Woman Care, LLC | Obstetrics & Gynecology | 3113 Stirling Road, Suite 204, Hollywood, FL 33312-6547 | 2011-03-18 |
| 1447557640 | Florida Woman Care, LLC | Obstetrics & Gynecology | 1309 N Federal Hwy, Hollywood, FL 33020-3631 | 2011-02-24 |
| 1043441751 | Ader Benoit | Obstetrics & Gynecology | 5010 Hollywood Blvd Ste 100b, Hollywood, FL 33021-6557 | 2009-07-29 |
| 1568589315 | Advanced Institute of Obstetrics and Gynecology of South Florida | Obstetrics & Gynecology | 1111 N 35th Ave, Hollywood, FL 33021-5403 | 2007-03-26 |
| 1669495842 | Robert C Siudmak & Associates Md Pa | Obstetrics & Gynecology | 3801 Hollywood Blvd, Suite 250, Hollywood, FL 33021-6758 | 2006-07-26 |
| 1568435741 | Edward Steven Wagner | Obstetrics & Gynecology | 4330 Sheridan St, Ste 101, Hollywood, FL 33021 | 2006-02-09 |
| 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.