SANDRA L MOONAN (NPI# 1194951137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194951137 |
| Entity Type | Individual |
| Full Name | SANDRA L MOONAN |
| Credential | LMT |
| Practice Address |
8333 W Mcnab Rd Suite 205 Tamarac FL 33321-3242 |
| Practice Telephone | 9549343209 |
| Mailing Telephone | 9549343209 |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA56294 | FL | Other Service Providers |
| Street Address |
8333 W MCNAB RD SUITE 205 |
| City | TAMARAC |
| State | FL |
| Zip Code | 33321-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346218187 | Amy Catherine Roskin | Obstetrics & Gynecology | 8333 W Mcnab Rd, Ste 122, Tamarac, FL 33321-3203 | 2006-03-09 |
| 1467839605 | Pro-thotics Technology, Inc | Prosthetic/Orthotic Supplier | 8333 W Mcnab Rd, Ste 228, Tamarac, FL 33321-3242 | 2015-04-27 |
| 1407247240 | John Affenita | Orthotist | 8333 W Mcnab Rd, Ste 228, Tamarac, FL 33321-3242 | 2015-02-16 |
| 1679964068 | Kemal Karyemez | Physical Therapy Assistant | 8333 W Mcnab Rd, Suite 223, Tamarac, FL 33321-3242 | 2015-02-07 |
| 1801291497 | Vitality Rehab, LLC | Clinic/Center | 8333 W Mcnab Rd, 223, Tamarac, FL 33321-3242 | 2014-10-26 |
| 1902248370 | Wellness Health Services of America LLC | Health Educator | 8333 W Mcnab Rd, Suite 201, Tamarac, FL 33321-3242 | 2013-07-25 |
| 1538428024 | Debbie Hewitt | Social Worker | 8333 W Mcnab Rd, Suite 235, Tamarac, FL 33321-3242 | 2012-05-03 |
| 1841522760 | Howard James Ackerman | Dentist | 8333 W Mcnab Rd, Ste 119, Tamarac, FL 33321-3242 | 2010-02-02 |
| 1477884716 | Debra B Gross Lcsw P A | Social Worker | 8333 W Mcnab Rd, Suite 131, Tamarac, FL 33321-3242 | 2010-01-27 |
| 1659500783 | Jose Rafael Porras | Dentist | 8333 W Mcnab Rd, Suite 104, Tamarac, FL 33321-3242 | 2009-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565146 | Rx Care 17 LLC | Pharmacy | 7142 N. University Drive, Tamarac, FL 33321 | 2020-07-08 |
| 1588204333 | Md Now Medical Centers Inc | Clinic/Center | 5817 N University Dr, Tamarac, FL 33321 | 2020-01-09 |
| 1992356919 | Ideal Smiles Dental Care | Clinic/Center | 6536 N. University Drive, Tamarac, FL 33321 | 2019-09-20 |
| 1447725551 | Keron Andrea Lee Cameron | Nurse Practitioner | 7961 Nw 90th Ave, Tamarac, FL 33321 | 2018-10-05 |
| 1134603681 | Sandra Julieth Gomez | Behavior Technician | 2865 Sw 16th Street Apt 1, Fort Lauderdale, FL 33321 | 2018-09-20 |
| 1396244646 | Coral Springs Hyperberic Oxygen and Wound Care Center LLC | Clinic/Center | 8333 W Mcnab, 107, Tamarac, FL 33321 | 2018-02-01 |
| 1124542741 | Franklyn Internal Medicine, LLC | Hospitalist | 7201 North University Dr, Tamarac, FL 33321 | 2017-07-26 |
| 1144742792 | Luz Natalia Franco Taveras | Dentist | 7300 W Mcnab Rd Ste 115, Tamarac, FL 33321 | 2017-07-14 |
| 1154861185 | Judith Ann Jacobs | Marriage & Family Therapist | 8400 N University Dr Ste 209, Tamarac, FL 33321 | 2017-02-23 |
| 1326584970 | Nelly Foeman | Behavior Technician | 5959 Royal Way, Tamarac, FL 33321 | 2017-01-06 |
| Find all providers in zip 33321 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083040307 | Lisa Margaret Foster | Specialist | 6605 Westwood Blvd E, Tamarac, FL 33321-3535 | 2013-09-18 |
| 1518305044 | Jimmy Escobar | Specialist | 4469 State Road 7, Suite B1, Tamarac, FL 33319-5876 | 2013-06-06 |
| 1124385133 | Robert Joseph Schaefer | Specialist | 8133 Nw 71st Ct, Tamarac, FL 33321-2700 | 2012-04-13 |
| 1285888099 | Stephenie Sadick, M.d., P.a. | Specialist | 7201 N. University Dr, University Hosipital and Medical Center, Tamarac, FL 33321 | 2008-11-06 |
| 1982857330 | Rose Elie | Specialist | 5654 Rock Island Rd, Unit 217, Tamarac, FL 33319-2886 | 2008-10-29 |
| 1255504973 | Jacob J Harris | Specialist | 4620 W Commercial Blvd, Suite 5, Tamarac, FL 33319-3320 | 2008-04-03 |
| 1891713236 | Kenneth J. Monson | Specialist | 7850 N University Dr, Tamarac, FL 33321-2114 | 2006-07-17 |
| 1023068251 | Total Medical LLC. | Specialist | 5409 N. State Road 7, Tamarac, FL 33319 | 2006-05-10 |
| 1174580161 | Jennifer C Branchcomb | Specialist | 6006 Lombard Ct, Tamarac, FL 33321-6318 | 2006-04-26 |
| 1639133697 | Michael J Benjamin | Specialist | 7777 N University Dr, Suite 102, Tamarac, FL 33321-6106 | 2006-04-14 |
| Find all providers in TAMARAC | ||||
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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.