MS. MALLORIE RENE LOTYCZ (NPI# 1497093363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497093363 |
| Entity Type | Individual |
| Full Name | MS. MALLORIE RENE LOTYCZ |
| Credential | PA-C |
| Practice Address |
21000 Ne 28th Ave Suite 104 Aventura FL 33180-1421 |
| Mailing Address |
21000 Ne 28th Ave Suite 104 Miami FL 33180-1421 |
| Practice Telephone | 3059371999 |
| Mailing Telephone | 3059371999 |
| Enumeration Date | 2013-01-27 |
| Last Update Date | 2015-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PAT9107065 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21000 NE 28TH AVE SUITE 104 |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265427298 | Leonard Vernon Cohen | Psychiatry & Neurology | 21000 Ne 28th Ave, Suite 205, Aventura, FL 33180-1421 | 2005-09-15 |
| 1275952863 | Adam Nassery | Pain Medicine | 21000 Ne 28th Ave, Aventura, FL 33180 | 2014-04-10 |
| 1730505801 | Kathy Montes Carrero | Radiology | 21000 Ne 28th Ave, Suite 104, Aventura, FL 33180-1421 | 2014-03-12 |
| 1649606864 | Michael Painter | Physician Assistant | 21000 Ne 28th Ave, Suite 104, Aventura, FL 33180-1421 | 2013-09-19 |
| 1003153859 | Matthew Dzwonkiewicz | Physician Assistant | 21000 Ne 28th Ave, Suite 104, Aventura, FL 33180-1421 | 2013-01-14 |
| 1518287754 | Marie L Williams Dpm Pllc | Podiatrist | 21000 Ne 28th Ave, Suite 201, Aventura, FL 33180-1421 | 2010-06-10 |
| 1417121237 | Silvia Inez Robles | Physical Therapist | 21000 Ne 28th Ave, Suite 100, Aventura, FL 33180-1421 | 2008-04-14 |
| 1518136753 | Floyd A Osterman Jr Md P A | Radiology | 21000 Ne 28th Ave, Ste 202, Aventura, FL 33180-1421 | 2008-02-21 |
| 1093998403 | Vanina Lorena Serber Copernik | Nurse Practitioner | 21000 Ne 28th Ave, Suite 202, Aventura, FL 33180-1421 | 2007-12-07 |
| 1255520656 | Aventura Neurology Consultants | Specialist | 21000 Ne 28th Ave, #205, Aventura, FL 33180-1421 | 2007-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
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|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
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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.