RALPH WILLIAM BOHONNON (NPI# 1518500768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518500768 |
| Entity Type | Individual |
| Full Name | RALPH WILLIAM BOHONNON |
| Credential | APRN |
| Practice Address |
295 Sw 4th Ave Pompano Beach FL 33060-6933 |
| Mailing Address |
2820 Ne 30th St Apt 7 Fort Lauderdale FL 33306-1942 |
| Practice Telephone | 5499426000 |
| Mailing Telephone | 2036419049 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
11004477 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
295 SW 4TH AVE |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33060-6933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760816730 | Grand Court Alf LLC | Assisted Living Facility | 295 Sw 4th Ave, Pompano Beach, FL 33060-6933 | 2013-08-27 |
| 1306447461 | Grand Court W Opco LLC | Assisted Living Facility | 295 Sw 4th Ave, Pompano Beach, FL 33060-6933 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606631 | Healthstat Wellness Health Center John Knox Village | Preventive Medicine | 500 South West 3rd Street, Suite 100, Pompano Beach, FL 33060 | 2020-10-14 |
| 1184234510 | Mediplus Clinic | Clinic/Center | 151 Sw 6th Street, Pompano Beach, FL 33060 | 2020-07-31 |
| 1912566415 | Sophia Thompson | Specialist/Technologist | 817 N Dixie Highway, Pompano Beach, FL 33060 | 2019-06-07 |
| 1508342460 | Gayta Prospere | Counselor | 871 North Dixie Highway, Pompano Beach, FL 33060 | 2018-07-13 |
| 1801303847 | Mediplus Clinic, Inc | General Practice | 151-155 Sw 6th Street, Pompano Beach, FL 33060 | 2017-12-29 |
| 1932624673 | Molly Waterway | Technician, Other | 200 Sw 16th St., Pompano Beach, FL 33060 | 2017-08-03 |
| 1366965089 | Jordan Terrell Striggles | Technician, Other | 1871 Nw 5th Terr, Pompano Beach, FL 33060 | 2017-07-25 |
| 1568832848 | Richard Orlan | Hearing Instrument Specialist | 550 S.w. 3rd St., #101b, Pompano Beach, FL 33060 | 2015-09-30 |
| 1700270808 | Lab Geeks, LLC | Clinical Medical Laboratory | 1701 Green Road, Suite B, Deerfield Beach, FL 33060 | 2015-03-26 |
| 1023412236 | Jesica Christine Velez | Behavioral Analyst | 911 East Atlantic Bulevard #108a, Pompano Beach, FL 33060 | 2014-10-17 |
| Find all providers in zip 33060 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508167131 | Coastal House Calls Inc | Nurse Practitioner | 973 Se 10th Ct, Pompano Beach, FL 33060-9536 | 2010-11-12 |
| 1184726424 | Carol Eickhorn | Nurse Practitioner | 572 East Mcnab Road, Pompano Beach, FL 33060 | 2006-09-05 |
| 1568859452 | Tawanna Anderson-leader | Nurse Practitioner | 150 Sw 12th Ave, Pompano Beach, FL 33069-3298 | 2015-04-20 |
| 1821432451 | Catherine Frances Branton | Nurse Practitioner | 201 E Sample Rd, Broward Health North - Neuroinstitute 2nd Floor, Pompano Beach, FL 33064-3502 | 2013-04-25 |
| 1619212172 | Margaret Medley | Nurse Practitioner | 1600 S Federal Hwy, Pompano Beach, FL 33062-7500 | 2012-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | POMPANO BEACH |
| Zip Code | 33060 |
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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.