CARMEN DANIELA CONNOLLY (NPI# 1417384983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417384983 |
| Entity Type | Individual |
| Full Name | CARMEN DANIELA CONNOLLY |
| Credential | P.A. |
| Practice Address |
603 N Flamingo Rd Suite 357 Pembroke Pines FL 33028-1023 |
| Mailing Address |
2101 Atlantic Shores Blvd Apt 216 Hallandale Beach FL 33009-2897 |
| Practice Telephone | 9544508488 |
| Practice Fax Number | 9544508860 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9107411 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215356100 | Carmen Connolly | Chiropractor | 2559 Washington Rd, Suite 510, Pittsburgh, PA 15241-2575 | 2014-04-08 |
| Street Address |
603 N FLAMINGO RD SUITE 357 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535484 | Fausto A De La Cruz | Internal Medicine | 603 N Flamingo Rd, #357, Pembroke Pines, FL 33028-1023 | 2005-08-16 |
| 1457717639 | Jessica Ketterer | Psychologist | 603 N Flamingo Rd, Suite 151, Pembroke Pines, FL 33028-1023 | 2016-01-04 |
| 1922470814 | Adriana Abuchar | Physician Assistant | 603 N Flamingo Rd, Suite 350, Pembroke Pines, FL 33028 | 2015-10-30 |
| 1760853030 | Lauren F Hodges | Physician Assistant | 603 N Flamingo Rd, Suite 358, Pembroke Pines, FL 33028-1023 | 2015-10-13 |
| 1578932687 | South Broward Hospital District | Internal Medicine | 603 N Flamingo Rd, Suite 159, Pembroke Pines, FL 33028-1023 | 2015-09-18 |
| 1720454879 | Sheyla Galban | Physician Assistant | 603 N Flamingo Rd, Suite 260, Pembroke Pines, FL 33028-1023 | 2015-08-12 |
| 1568877843 | Limor Oz | General Acute Care Hospital | 603 N Flamingo Rd, Pembroke Pines, FL 33028-1023 | 2014-06-25 |
| 1316208291 | Adiene Caridad Murillo | Clinical Nurse Specialist | 603 N Flamingo Rd, Suite 157, Pembroke Pines, FL 33028-1023 | 2012-06-06 |
| 1457619207 | Ximena Guimet | Physician Assistant | 603 N Flamingo Rd, 357, Pembroke Pines, FL 33028-1023 | 2012-04-30 |
| 1700157021 | Sear-enity Natural Medicine, Inc. | Acupuncturist | 603 N Flamingo Rd, Ste 159, Pembroke Pines, FL 33028-1023 | 2012-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366087785 | Jessica Gearhard | Physician Assistant | 550 Sw 138th Ave Apt K404, Pembroke Pines, FL 33027-6929 | 2019-11-08 |
| 1124661301 | Christopher Reyes | Physician Assistant | 1603 Nw 208th Ter, Pembroke Pines, FL 33029-2302 | 2019-10-21 |
| 1922534833 | Emad Mosaed | Physician Assistant | 302 Nw 179th Ave Ste 103, Pembroke Pines, FL 33029-2818 | 2017-05-11 |
| 1326570938 | Amanda Engel | Physician Assistant | 2213 N University Dr Ste A, Pembroke Pines, FL 33024-3611 | 2017-04-02 |
| 1407305550 | Godney Paulin | Physician Assistant | 601 N Flamingo Rd Ste 213, Pembroke Pines, FL 33028-1009 | 2016-09-30 |
| 1740609072 | Ledy Tatiana Ochoa | Physician Assistant | 345 Sw 113th Ln, Pembroke Pines, FL 33025-4830 | 2014-04-15 |
| 1922436922 | Makeba Joy Burke | Physician Assistant | 2217 N University Drive, Pembroke Pines, FL 33025 | 2013-10-29 |
| 1407100993 | Sharon Cam Whitehorn | Physician Assistant | 500 N Hiatus Rd Ste 101, Pembroke Pines, FL 33026 | 2012-11-05 |
| 1699041368 | Lorie Ann Thompson Masters | Physician Assistant | 13182 Nw 18th Ct, Pembroke Pines, FL 33028-2513 | 2012-03-28 |
| 1649578535 | Michelle Lynn Baechle | Physician Assistant | 603 N Flamingo Road, Suite 350, Pembroke Pines, FL 33028-1013 | 2011-03-02 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
Please comment or provide details below to improve the information on CARMEN DANIELA CONNOLLY.
| 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.