JEAN-ROBERT DUMAS (NPI# 1528442092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528442092 |
| Entity Type | Individual |
| Full Name | JEAN-ROBERT DUMAS |
| Credential | MT |
| Practice Address |
115 S 17th Ave Hollywood FL 33020-6801 |
| Practice Telephone | 9545057301 |
| Practice Fax Number | 9545057302 |
| Mailing Telephone | 9545057301 |
| Mailing Fax Number | 9545057302 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246QC1000X |
Spec/Tech, Pathology Specialization: Chemistry |
FL | Technologists, Technicians & Other Technical Service Providers | |
| N | 246QH0000X |
Spec/Tech, Pathology Specialization: Hematology |
FL | Technologists, Technicians & Other Technical Service Providers | |
| N | 246QM0900X |
Spec/Tech, Pathology Specialization: Microbiology |
FL | Technologists, Technicians & Other Technical Service Providers | |
| N | 247200000X | Technician, Other | FL | Technologists, Technicians & Other Technical Service Providers | |
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
115 S 17TH AVE |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-6801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851623573 | Fisioterapia Hollywodd Medical | Clinic/Center | 115 S 17th Ave, Hollywood, FL 33020-6801 | 2010-02-04 |
| 1942641923 | Primary Diagnostics Laboratory Pllc | Clinical Medical Laboratory | 115 S 17th Ave, Hollywood, FL 33020-6801 | 2013-07-08 |
| 1174820559 | Fisioterapia Hollywood Inc | Clinic/Center | 115 S 17th Ave, Hollywood, FL 33020-6801 | 2011-02-19 |
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|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922626795 | Sabrina Yvette Kelley | Pathology | 801 W Sr 436 Ste 2005, Altamonte Springs, FL 32714-3053 | 2020-07-08 |
| 1407315575 | Aitor Lartitegui | Pathology | 15481 Sw 12th St Ste 303, Sunrise, FL 33326-1993 | 2019-03-18 |
| 1912479130 | Jean S Sanon | Pathology | 3020 High Ridge Rd Ste 600, Boynton Beach, FL 33426-8731 | 2018-12-28 |
| 1538645122 | Brandie Underwood | Pathology | 255 Se 7th Ave Ste 3, Crystal River, FL 34429-4848 | 2018-07-17 |
| 1083117535 | Quality Clinical Lab LLC | Pathology | 2204 Us Highway 19, Holiday, FL 34691-4351 | 2018-03-12 |
| 1407373368 | Cheska Lee Burleson | Pathology | 921 39th Ave Ne, Saint Petersburg, FL 33703-5924 | 2017-08-23 |
| 1356867048 | Kendall Ather Bryant | Pathology | 520 Baker St, Orlando, FL 32806 | 2017-08-15 |
| 1215329552 | Joseph Coscia | Pathology | 28 Bermuda Lake Dr, Palm Beach Gardens, FL 33418-4584 | 2015-02-24 |
| 1942600465 | Judith Mcmorris | Pathology | 4537 Winding River Way, Land O Lakes, FL 34639-5734 | 2014-09-03 |
| 1972756955 | Rafael Rodriguez | Pathology | 8004 Nw 154th St # 197, Miami Lakes, FL 33016-5814 | 2008-11-04 |
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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.