RANDY BRUCE GOULD (NPI# 1184630352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184630352 |
| Entity Type | Individual |
| Full Name | RANDY BRUCE GOULD |
| Credential | DO |
| Practice Address |
10650 W State Road 84 Suite 104 Davie FL 33324-4235 |
| Practice Telephone | 9543821550 |
| Practice Fax Number | 9543821250 |
| Mailing Telephone | 9543821550 |
| Mailing Fax Number | 9543821250 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OS7937 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 266497600 | 05 |
| Street Address |
10650 W STATE ROAD 84 SUITE 104 |
| City | DAVIE |
| State | FL |
| Zip Code | 33324-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134103955 | Jacqui Botkin | Optometrist | 10650 W State Road 84, Suite 100, Davie, FL 33324-4235 | 2005-12-05 |
| 1225547300 | Dania Barbara Lambert | In Home Supportive Care | 10650 W State Road 84, Davie, FL 33324-4235 | 2017-09-21 |
| 1174069892 | Patrice Richard | Technician | 10650 W State Road 84, Suite 206, Davie, FL 33324-4235 | 2017-01-19 |
| 1649716390 | Lourdes Morillo | Technician | 10650 W State Road 84, Suite 206, Davie, FL 33324-4235 | 2017-01-18 |
| 1427590678 | Margarette Saint Fleur | Technician | 10650 W State Road 84, Suite 206, Davie, FL 33324-4235 | 2016-11-04 |
| 1366984528 | Maritza Tirado | Technician | 10650 W State Road 84, Suite 206, Davie, FL 33324-4235 | 2016-11-04 |
| 1932572526 | Neurosport Elite, Pa | Chiropractor | 10650 W State Road 84, Suite 111, Davie, FL 33324-4235 | 2015-11-05 |
| 1659741601 | Lina Rios | Technician | 10650 W State Road 84, Suite 206, Davie, FL 33324-4235 | 2015-10-03 |
| 1184020778 | Fernanda Anchante | Technician | 10650 W State Road 84, Suite 206, Davie, FL 33324-4235 | 2014-11-10 |
| 1295130615 | Bridgett Klemz | Physical Therapist | 10650 W State Road 84, Suite 111, Davie, FL 33324-4235 | 2014-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497204994 | South Florida Cardiology Associates Pa | Internal Medicine | 5480 Griffin Rd, Davie, FL 33314-4539 | 2016-09-25 |
| 1326448531 | Awais K Humayun Md Pa | Internal Medicine | 4801 S University Dr Ste 104, Davie, FL 33328-3835 | 2014-08-26 |
| 1346256526 | Mark G Sabbota | Internal Medicine | 10650 W State Road 84, Suite 104, Davie, FL 33324-4235 | 2006-07-31 |
| 1922012087 | Cardiovascular Specialists of South Florida | Internal Medicine | 10650 W State Road 84, Suite 104, Davie, FL 33324-4235 | 2006-07-27 |
| 1275570020 | Matthew Teltser | Internal Medicine | 4780 Sw 64th Ave Ste 101, Davie, FL 33314-4400 | 2006-06-01 |
| 1063468122 | All Specialty Care Pa | Internal Medicine | 5595 Orange Dr, Suite 207, Davie, FL 33314-3817 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765443 | Premier Cardiovascular Center, LLC | Internal Medicine | 450 W State Road 434 Ste 2010, Longwood, FL 32750-5187 | 2020-09-16 |
| 1679199236 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 877 3rd St Ste 3, Chipley, FL 32428-1855 | 2020-06-19 |
| 1972123701 | Heart Clinic of Central Florida LLC | Internal Medicine | 52 Riley Rd # 429, Celebration, FL 34747-5420 | 2020-04-22 |
| 1205465440 | Cardiology Group Panel LLC | Internal Medicine | 201 Nw 82nd Ave Ste 405, Plantation, FL 33324-1883 | 2020-04-08 |
| 1346876745 | H & D Cardiology, Pa | Internal Medicine | 1879 Nightingale Ln Ste B2, Tavares, FL 32778-4363 | 2020-03-17 |
| 1427690775 | The Cardiac and Vascular Institute Ambulatory Surgery Center | Internal Medicine | 4645 Nw 8th Ave Ste 10, Gainesville, FL 32605-4688 | 2019-10-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1023660255 | Florida Medical Specialists LLC | Internal Medicine | 1250 S Tamiami Trl Ste 300, Sarasota, FL 34239-2221 | 2019-07-09 |
| 1962064493 | Ckk Medical LLC | Internal Medicine | 6600 Sw State Road 200 # 200, Ocala, FL 34476-5554 | 2019-07-04 |
| 1952968026 | Jose Miguel Simo | Internal Medicine | 3347 S State Road 7 Ste 205, Wellington, FL 33449-8148 | 2019-05-23 |
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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.