GERALDINE VICKERS (NPI# 1194147512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194147512 |
| Entity Type | Individual |
| Full Name | GERALDINE VICKERS |
| Credential | CRNP |
| Practice Address |
3601 Sw 160th Ave Suite 250 Miramar FL 33027-6308 |
| Mailing Address |
2 Old Orchard Ln Mountain Top PA 18707-1741 |
| Practice Telephone | 8778667123 |
| Practice Fax Number | 8558552792 |
| Mailing Telephone | 5707934280 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2015-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP007884 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3601 SW 160TH AVE SUITE 250 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33027-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730184821 | Eduardo Wolffe | Specialist | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2005-06-16 |
| 1740730183 | Vohra Wound Physicians of The West, P.C. | Family Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2016-10-10 |
| 1306396734 | Florida Post Acute Care Clinicians, LLC | Family Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2016-10-10 |
| 1699225029 | Florida Post Acute Care Clinicians, LLC | Family Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2016-10-10 |
| 1043760473 | Florida Post Acute Care Clinicians, LLC | Family Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2016-10-10 |
| 1720536477 | Vohra Wound Physicians of The Mid-west, S.c. | Family Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2016-09-12 |
| 1801276670 | Vohra Post Acute Care Physicians of The East, Pa | Family Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2015-06-05 |
| 1811398811 | Florida Post Acute Care Clinicians, LLC | Internal Medicine | 3601 Sw 160th Ave, Ste 250, Miramar, FL 33027-6308 | 2014-09-09 |
| 1801225438 | Dulce Belle Mascarinas | Family Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2013-11-04 |
| 1063848968 | Vohra Post Acute Care Physicians of The East, Pa | Internal Medicine | 3601 Sw 160th Ave, Suite 250, Miramar, FL 33027-6308 | 2013-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594765 | Synthia Juvilien | Nurse Practitioner | 1704 Sw 101st Ter, Miramar, FL 33025-6534 | 2020-10-05 |
| 1679170427 | Renise Frederic | Nurse Practitioner | 11750 Canal St Unit 220, Miramar, FL 33025-7947 | 2020-10-05 |
| 1730786708 | Murielle Jean | Nurse Practitioner | 4963 Sw 166th Ave, Miramar, FL 33027-4903 | 2020-10-02 |
| 1417563651 | Idowu Oluwafemi Adekambi | Nurse Practitioner | 16126 Sw 26th St, Miramar, FL 33027-4407 | 2020-09-22 |
| 1689280349 | Fabiola Douyard | Nurse Practitioner | 15805 Sw 52nd Ct, Miramar, FL 33027-5616 | 2020-09-18 |
| 1851906804 | Yoandris Rosales | Nurse Practitioner | 7837 Orleans St, Miramar, FL 33023-3559 | 2020-09-15 |
| 1427660349 | Nicole Theresa Marshall | Nurse Practitioner | 1932 Sw 148th Way, Miramar, FL 33027-4338 | 2020-08-21 |
| 1720698947 | Robinson Remonville | Nurse Practitioner | 6045 Sw 40th St, Miramar, FL 33023-5107 | 2020-08-03 |
| 1720698137 | Sherine Campbell | Nurse Practitioner | 13138 Sw 31st St, Miramar, FL 33027-3839 | 2020-07-31 |
| 1821616152 | Sijo Jose | Nurse Practitioner | 19574 Sw 42nd Ct, Miramar, FL 33029-2748 | 2020-07-13 |
| Find all providers in MIRAMAR | ||||
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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.