ALLIED HEALTH PROVIDER LLC (NPI# 1528557394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528557394 |
| Entity Type | Organization |
| Organization Name | ALLIED HEALTH PROVIDER LLC |
| Practice Address |
1625 Ne 3rd Ct Fort Lauderdale FL 33301-3808 |
| Mailing Address |
701 Three Islands Blvd Ste 118 Hallandale Beach FL 33009-2822 |
| Practice Telephone | 3059897291 |
| Mailing Telephone | 3059897291 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | DIANA MARTINEZ (OWNER / PROVIDER) |
| Authorized Official Telephone | 3059897291 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9105777 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI NUMBER | 1811266216 | 01 |
| Street Address |
1625 NE 3RD CT |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33301-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
| 1083248355 | Aaidebook Inc | In Home Supportive Care | 501 East Olas Blvd., Suite 300 Office 337, Fort Lauderdale, FL 33301 | 2020-02-26 |
| 1962995845 | Primary Care Specialist of South Florida Pa | Internal Medicine | 20200 W Dixie High Way, 1108, Aventura, FL 33301 | 2018-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568842433 | Elaina Williams | Behavioral Analyst | 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 | 2015-06-04 |
| 1598144057 | Cynthia I Pepper | Occupational Therapist | 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 | 2015-05-29 |
| 1972900629 | Marquita Rucker | Counselor | 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 | 2014-11-24 |
| 1932502879 | Martha Bouza | Obstetrics & Gynecology | 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 | 2014-10-07 |
| 1891117016 | Sara Jimenez | Social Worker | 401 Ne 4th Steret, Ft.lauderdale, FL 33301 | 2014-01-07 |
| Find all providers in zip 33301 | ||||
| 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 |
|---|---|---|---|---|
| 1124654538 | Joanna Gasdogas | Physician Assistant | 6451 N Federal Hwy Ste 700, Fort Lauderdale, FL 33308-1420 | 2020-03-17 |
| 1487299178 | Johanne Louis | Physician Assistant | 730 Nw 19th St Apt West, Fort Lauderdale, FL 33311-4006 | 2019-11-17 |
| 1013551266 | Tito Velasquez | Physician Assistant | 1160 N Federal Hwy Apt 1023, Fort Lauderdale, FL 33304-1436 | 2019-10-31 |
| 1275001406 | Michael Louis Alexander Jr. | Physician Assistant | 1940 Ne 47th St Ste 1, Fort Lauderdale, FL 33308-7711 | 2018-11-06 |
| 1972088706 | Kayla Lynn Ventura | Physician Assistant | 4801 N Federal Hwy Ste 101, Fort Lauderdale, FL 33308-4618 | 2018-09-27 |
| 1396246005 | Marissa Amina Kazim | Physician Assistant | 3465 Galt Ocean Dr Ste 101, Fort Lauderdale, FL 33308-7077 | 2018-02-27 |
| 1306356886 | Jennifer Ashley Alexander | Physician Assistant | 4701 N Federal Hwy Ste A39, Fort Lauderdale, FL 33308-4608 | 2017-10-10 |
| 1366842585 | Hannah Silverman | Physician Assistant | 4800 Ne 20th Ter Ste 115, Fort Lauderdale, FL 33308-4510 | 2014-08-25 |
| 1811240518 | Angela Kakaley Hall | Physician Assistant | 900 Ne 26th Ave, Fort Lauderdale, FL 33304-3607 | 2012-10-18 |
| 1477806438 | John W. Rafalko | Physician Assistant | Dr. John W. Rafalko, 3200 South University Dr., Nsu, Hpd, Chcs, Pa Department, Room 1287, Fort Lauderdale, FL 33328-2018 | 2012-10-16 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33301 |
Please comment or provide details below to improve the information on ALLIED HEALTH PROVIDER LLC.
| 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.