DAVID OMOBASUYI LLC (NPI# 1255824355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255824355 |
| Entity Type | Organization |
| Organization Name | DAVID OMOBASUYI LLC |
| Practice Address |
9701 W Oakland Park Blvd Sunrise FL 33351-7015 |
| Mailing Address |
15716 Sw 26th St Miramar FL 33027-4271 |
| Practice Telephone | 9545724444 |
| Mailing Telephone | 3058987006 |
| Mailing Fax Number | 3058987006 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Authorized Official Name | DR. DAVID OMOBASUYI (PRESIDENT) |
| Authorized Official Telephone | 3058987006 |
| Authorized Official Credential | ARNP, PMHNP-BC, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2870242 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9701 W OAKLAND PARK BLVD |
| City | SUNRISE |
| State | FL |
| Zip Code | 33351-7015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962817023 | Islf Westchester of Sunrise, LLC | Assisted Living Facility | 9701 W Oakland Park Blvd, Sunrise, FL 33351-7015 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595945 | Nicole Walters | Nurse Practitioner | 4900 Nw 92nd Ave, Sunrise, FL 33351 | 2020-10-12 |
| 1811539141 | Springbirds Caregivers, Inc | Home Health | 8469 W Aokland Park Blvd, Sunrise, FL 33351 | 2019-10-08 |
| 1841842457 | Pacifica Sl Sunrise LLC | Assisted Living Facility | 4201 Springtree Drive, Sunrise, FL 33351 | 2019-07-13 |
| 1376019216 | Carla Sue Castiglione | Dietitian, Registered | 4800 Nob Hill Road, Sunrise, FL 33351 | 2018-10-18 |
| 1114493202 | Sunrise Family Smiles, Pa | Clinic/Center | 9440 West Commercial Blvd, Suite 105, Sunrise, FL 33351 | 2018-10-16 |
| 1134619505 | Brush Lauderhill, Pllc | Dentist | 7752 W. Commercial Blvd, Lauderhill, FL 33351 | 2018-05-11 |
| 1336658749 | Manuel Alexis Guilarte | Technician, Other | 10307 Nw 33rd Pl, Sunrise, FL 33351 | 2017-09-28 |
| 1801319009 | Latavia Cheri London | Technician, Other | 9429 Nw 42nd Street, 9429 Nw 42nd Street, Sunrise, FL 33351 | 2017-07-19 |
| 1225567662 | Maite Blanco | Counselor | 10994 Nw 40 Street, Sunrise, FL 33351 | 2017-06-08 |
| 1902335599 | Ella-shanie Benyakar | Speech-Language Pathologist | 9477 Nw 39th Pl, Sunrise, FL 33351 | 2017-06-07 |
| Find all providers in zip 33351 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342754 | Pamela Ziel | Nurse Practitioner | 545 Lakeside Cir, Sunrise, FL 33326-2136 | 2020-10-07 |
| 1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
| 1932120342 | Laurie Zeitlin | Nurse Practitioner | 9800 West Commercial Blvd., Sunrise, FL 33351 | 2006-07-21 |
| 1316993215 | Ruth Milstein | Nurse Practitioner | 14201 W Sunrise Blvd, Suite 208, Sunrise, FL 33323-3207 | 2006-05-25 |
| 1669099891 | Insight Psychiatric Services P.a. | Nurse Practitioner | 14201 W Sunrise Blvd Ste 208, Sunrise, FL 33323-3207 | 2020-07-04 |
| 1396369716 | Kevin K Joseph | Nurse Practitioner | 14201 W Sunrise Blvd Ste 208, Sunrise, FL 33323-3207 | 2020-06-01 |
| 1992226955 | Ruth Kreis-orkoulas, Arnp, Pmhnp-bc, LLC | Nurse Practitioner | 14201 W Sunrise Blvd Ste 208, Sunrise, FL 33323-3207 | 2017-06-29 |
| 1285176933 | Beverley Powell | Nurse Practitioner | 14201 W Sunrise Blvd, Suite 208, Sunrise, FL 33323-3207 | 2016-11-12 |
| 1649634296 | Keith Lee Jones | Nurse Practitioner | 14201 W Sunrise Blvd Ste 208, Sunrise, FL 33323-3207 | 2016-04-11 |
| 1588027759 | Keith Jones Arnp LLC | Nurse Practitioner | 14201 W Sunrise Blvd, Sunrise, FL 33323-3207 | 2016-04-04 |
| Find all providers in SUNRISE | ||||
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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.