LESLIE SHAWN D.O. P.A. (NPI# 1295024636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295024636 |
Entity Type | Organization |
Organization Name | LESLIE SHAWN D.O. P.A. |
Practice Address |
400 N Hiatus Rd Suite 201 Pembroke Pines FL 33026-5214 |
Practice Telephone | 9544423434 |
Practice Fax Number | 9544414425 |
Mailing Telephone | 9544423434 |
Mailing Fax Number | 9544414425 |
Enumeration Date | 2011-04-06 |
Last Update Date | 2011-04-06 |
Authorized Official Name | LESLIE GORDON SHAWN (PHYSICIAN) |
Authorized Official Telephone | 9544423434 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
400 N HIATUS RD SUITE 201 |
City | PEMBROKE PINES |
State | FL |
Zip Code | 33026-5214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346237195 | Eileen Kiang | Pediatrics | 400 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5214 | 2005-10-05 |
1629437173 | Melissa Austria | Nurse Practitioner | 400 N Hiatus Rd, Pembroke Pines, FL 33026-5214 | 2016-02-12 |
1790118180 | Evergreen Medical Center, Pa | Internal Medicine | 400 N Hiatus Rd, Suite 206, Pembroke Pines, FL 33026-5214 | 2013-08-20 |
1972738466 | Gabriela Schonberg | Pediatrics | 400 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5214 | 2009-05-27 |
1992946818 | Shani-kay Chambers | Pediatrics | 400 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5214 | 2009-03-23 |
1457592479 | Dianne Patrice Williams | Pediatrics | 400 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5214 | 2009-03-20 |
1750557294 | Elizabeth Heather Salerno | Pediatrics | 400 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5214 | 2008-05-05 |
1922290402 | Michelle Keane | Pediatrics | 400 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5214 | 2007-08-17 |
1639231590 | Joseph Vincent Cerami | Internal Medicine | 400 N Hiatus Rd, Suite 200, Pembroke Pines, FL 33026-5214 | 2006-12-15 |
1982790168 | Asma Saleem | Pediatrics | 400 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5214 | 2006-10-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
Find all providers in zip 33026 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588287239 | Sarai L Gonzalez | Family Medicine | 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 | 2020-05-28 |
1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
1629388046 | Levinson Medical Center At Pembroke Pines, LLC. | Family Medicine | 17011 Pines Blvd, Pembroke Pines, FL 33027-1003 | 2010-10-19 |
1184867137 | Noel Mora, M.d., P.a. | Family Medicine | 13782 Nw 23rd St, Pembroke Pines, FL 33028-2621 | 2009-04-07 |
1417926031 | Jorge D. Luna | Family Medicine | 601 N Flamingo Rd Ste 416, Pembroke Pines, FL 33028-1012 | 2006-03-16 |
1932345956 | Family Practice of Davie Inc. | Family Medicine | 1150 N University Dr, Pembroke Pines, FL 33024-5031 | 2008-12-22 |
1255545067 | Meeta Govindarajan | Family Medicine | 501 Nw 179th Ave, Pembroke Pines, FL 33029-2807 | 2007-05-10 |
1538196258 | Noel J Mora | Family Medicine | 601 N Flamingo Rd, Suite 202, Pembroke Pines, FL 33028 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598105 | Foundations Medical Center Pllc | Family Medicine | 4467 Commons Dr W Ste F-g, Destin, FL 32541-8454 | 2020-11-04 |
1831704345 | Vasundhara Kuchibhotla | Family Medicine | 1630 Sw 75th Ter, Gainesville, FL 32607-6604 | 2020-09-11 |
1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
1043838451 | Lisa M Parker | Family Medicine | 7955 Bay St Ste 2, Sebastian, FL 32958-3282 | 2020-07-13 |
1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
1184247033 | Wellness Solutions 2020 LLC | Family Medicine | 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 | 2020-05-27 |
1780207910 | Homeville Medical Care | Family Medicine | 11040 Nw 18th Ct, Plantation, FL 33322-3407 | 2020-05-21 |
1942829536 | Health Medical Ultra Limited Liability Company | Family Medicine | 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 | 2020-04-13 |
1356989693 | Aag Np Services LLC | Family Medicine | 309 Cornell Dr, Lake Worth Beach, FL 33460-6207 | 2019-12-17 |
Find all providers with the same taxonomy |
City | PEMBROKE PINES |
Zip Code | 33026 |
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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.