DR. LEON LAWRENCE SHORE (NPI# 1306066121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306066121 |
| Entity Type | Individual |
| Full Name | DR. LEON LAWRENCE SHORE |
| Credential | DO |
| Practice Address |
10111 W Oakland Park Blvd Sunrise FL 33351-6917 |
| Practice Telephone | 9547411533 |
| Practice Fax Number | 9543180772 |
| Mailing Telephone | 9547411533 |
| Mailing Fax Number | 9543180772 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2010-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS0001600 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | OS0001600 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 046682400 | 05 |
| Street Address |
10111 W OAKLAND PARK BLVD |
| City | SUNRISE |
| State | FL |
| Zip Code | 33351-6917 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942675038 | Thomas Fordham Brewer, M.d., Inc. | Family Medicine | 13630 Nw 8th St Suite 205, Sunrise, FL 33325 | 2015-12-01 |
| 1245610765 | Jason Navarro | Family Medicine | 1257 Nw 125th Ter, Sunrise, FL 33323-3178 | 2015-06-01 |
| 1457697914 | Jacob Lazarovic | Family Medicine | 1391 Nw 136th Ave, Sunrise, FL 33323-2800 | 2013-01-02 |
| 1740447051 | Carolyn Sue George | Family Medicine | 12651 W Sunrise Blvd Ste 103, Sunrise, FL 33323-0906 | 2008-05-22 |
| 1982828299 | Vivian Alabastro Perez-mcarthur | Family Medicine | 1084 Sunset Strip, Sunrise, FL 33313-6106 | 2007-04-11 |
| 1447324546 | Libertad A Palma Md Pa | Family Medicine | 10028 W Oakland Park Blvd, Sunrise, FL 33351-6959 | 2006-11-20 |
| 1912095225 | Leslie Karen Herzog | Family Medicine | 8890 W Oakland Park Blvd Ste 100, Sunrise, FL 33351 | 2006-10-11 |
| 1356376412 | J S Santos Inc | Family Medicine | 6501 Sunset Strip, Sunrise, FL 33313-2853 | 2006-07-11 |
| 1609812437 | Carlos Enrique Ballestas | Family Medicine | 12651 W Sunrise Blvd Ste 202, Sunrise, FL 33323-0906 | 2006-06-21 |
| 1831155522 | Meenu Gupta | Family Medicine | 8396 W Oakland Pk Blvd, Sunrise, FL 33351-7372 | 2006-04-22 |
| 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.