TAMMY A DORFMAN (NPI# 1225061781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225061781 |
| Entity Type | Individual |
| Full Name | TAMMY A DORFMAN |
| Credential | PA-C |
| Practice Address |
7800 Sheridan St Pembroke Pines FL 33024-2536 |
| Mailing Address |
3501 Johnson St Hollywood FL 33021-5421 |
| Practice Telephone | 9542659430 |
| Practice Fax Number | 9549872000 |
| Mailing Telephone | (954) 265-9430 |
| Mailing Fax Number | 9549872000 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 9102106 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3501 Johnson St, Hollywood, FL 330215421 | 9542659430 |
| Street Address |
7800 SHERIDAN ST |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337026 | Dexter C Sereda | Surgery | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2005-09-27 |
| 1477171932 | Bindu Koshy | Nurse Practitioner | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2020-07-10 |
| 1093355190 | Ponnila Srinivasan | Registered Nurse | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2020-01-07 |
| 1336655455 | Ryan Gregory Phillips | Nurse Practitioner | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2017-12-27 |
| 1205351244 | Shoji Aji | Nurse Practitioner | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2017-08-10 |
| 1902331127 | Guardian Hospitalist, LLC | Hospitalist | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2017-04-25 |
| 1619417227 | Jessica Fugitt | Internal Medicine | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2017-03-01 |
| 1386006385 | Kristen Selema | Internal Medicine | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2016-03-28 |
| 1811362114 | Alin Buleu | Pharmacist | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2015-12-11 |
| 1649676313 | Haven Holistic Center, LLC | Substance Abuse Rehabilitation Facility | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2014-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417282849 | Pedro Acosta | Physician Assistant | 10682 Sw 8th St, Pembroke Pines, FL 33025-6927 | 2009-10-02 |
| 1679618458 | Raul A Gonzalez | Physician Assistant | 446 Sw 191st Ter, Pembroke Pines, FL 33029-5463 | 2007-02-20 |
| 1013029123 | Edith Ruiz Snelling | Physician Assistant | 601 N Flamingo Road, Suite 408, Pembroke Pines, FL 33028 | 2006-08-31 |
| 1962860312 | Ernesto Rafael Figueroa | Physician Assistant | 8280 Nw 28th St, Pembroke Pines, FL 33024-3185 | 2016-01-31 |
| 1336187996 | Paul Anthony Licata | Physician Assistant | 601 N Flamingo Rd, Pembroke Pines, FL 33028-1015 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
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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.