DR. ANTOINETTE MASON SHORTER (NPI# 1265530828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265530828 |
| Entity Type | Individual |
| Full Name | DR. ANTOINETTE MASON SHORTER |
| Credential | M.D. |
| Practice Address |
4105 Pembroke Rd Hollywood FL 33021-8103 |
| Mailing Address |
1011 Nw 97th Ave Plantation FL 33322-4836 |
| Practice Telephone | 9549851551 |
| Practice Fax Number | 9549851415 |
| Mailing Telephone | 9543709732 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
ME0042248 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 262320000 | 05 |
| Street Address |
4105 PEMBROKE RD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-8103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821070061 | All Womens Healthcare Inc | Advanced Practice Midwife | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2005-11-15 |
| 1508372939 | John Edmund Gall | Pharmacist | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2017-12-21 |
| 1093116592 | Akilah A Quallo | Nurse Practitioner | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2014-09-16 |
| 1982047056 | Janelle Smith | Pharmacist | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2013-04-09 |
| 1790128973 | Arul P Chacko | Pharmacist | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2013-04-08 |
| 1891036224 | Steven Nemeroff I | Pharmacist | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2013-03-11 |
| 1740528744 | Annamma Udaya Thomas | Nurse Practitioner | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2013-01-25 |
| 1962769901 | Oludara Omobola Amole | Internal Medicine | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2012-04-16 |
| 1528324555 | Maheen Faridi | Family Medicine | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2012-04-04 |
| 1811281892 | Carla Brutus | Nurse Practitioner | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2011-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790178697 | Physician Partnership Alliance LLC | Preventive Medicine | 3829 Hollywood Blvd, Ste A, Hollywood, FL 33021-6790 | 2015-03-17 |
| 1871616862 | Hossein Farsad | Preventive Medicine | 750 S Federal Hwy, Hollywood, FL 33020-5424 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1174147193 | Virtu30 Telehealth Services | Preventive Medicine | 1540 16th St Ne, Naples, FL 34120-3447 | 2020-06-05 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1659990521 | Nickson Henry | Preventive Medicine | 4700 Portofino Way Apt 201, West Palm Beach, FL 33409-8174 | 2020-04-10 |
| 1609402619 | Bro Roc, LLC | Preventive Medicine | 1809 Ne 59th St, Fort Lauderdale, FL 33308-2443 | 2020-03-21 |
| 1306353776 | Roxanne Summerville | Preventive Medicine | 1064 N Tamiami Trl Unit 1302, Sarasota, FL 34236-2475 | 2018-01-06 |
| 1659884039 | Donald Joseph Crane | Preventive Medicine | 3125 Merion Dr, Miramar Beach, FL 32550-7887 | 2017-11-08 |
| 1801257183 | Sofia Abigail Funes | Preventive Medicine | 8 Hemlock Circle Ct, Ocala, FL 34472-9092 | 2016-03-14 |
| 1669850640 | Lareece Long | Preventive Medicine | 715 Bellshire Way, Winter Garden, FL 34787-2430 | 2015-05-11 |
| 1770908477 | Robert David Willix Jr. | Preventive Medicine | 501 E Camino Real, Boca Raton, FL 33432-6127 | 2014-03-04 |
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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.