PRACTITIONER MEDICAL SERVICES INC (NPI# 1548545601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548545601 |
| Entity Type | Organization |
| Organization Name | PRACTITIONER MEDICAL SERVICES INC |
| Practice Address |
3075 Nw 35th Ave Lauderdale Lakes FL 33311-1107 |
| Mailing Address |
22274 Sw 61st Ave Boca Raton FL 33428-4410 |
| Practice Telephone | 5618432325 |
| Practice Fax Number | 5614836266 |
| Mailing Telephone | 5618432325 |
| Mailing Fax Number | 5614836266 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2012-09-06 |
| Authorized Official Name | MARIE MICHELLE CARNER (PRESIDENT) |
| Authorized Official Telephone | 5618432325 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
P11000009589 | FL | Ambulatory Health Care Facilities |
| Street Address |
3075 NW 35TH AVE |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33311-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559902 | St Johns Rehabilitation Hospital and Nursing Center Inc | Nursing Facility/Intermediate Care Facility | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2005-09-21 |
| 1851820922 | Mirza Medical Pa | Internal Medicine | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2017-06-12 |
| 1578823886 | Herbert Goldwire Pa | Nurse Practitioner | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2012-05-21 |
| 1669763462 | Nova Southeastern University, Inc | Dentist | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2011-04-27 |
| 1841521002 | Marie Michelle Carner | Nurse Practitioner | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2010-01-27 |
| 1811923352 | Clinton Jules | Specialist | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2006-06-25 |
| 1184679318 | Catholic Home Health Services of Broward Inc | Home Health | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
| 1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
| 1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
| 1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
| 1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
| 1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
| 1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
| Find all providers in zip 33311 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683489 | Primary Medical Care Center of Pompano Beach, Inc | Clinic/Center | 2412 N State Road 7, Lauderdale Lakes, FL 33313-3724 | 2020-06-16 |
| 1831645654 | Primary Medical Care Center of Miramar Inc | Clinic/Center | 2412 N State Road 7, Lauderdale Lakes, FL 33313-3724 | 2016-08-31 |
| 1720534571 | Primary Medical Care Center of Lauderhill Inc. | Clinic/Center | 2412 N State Road 7, Lauderdale Lakes, FL 33313 | 2016-08-31 |
| 1235394222 | Access Family Health Care LLC | Clinic/Center | 2951 Nw 49th Ave, Suite 104 C, Lauderdale Lakes, FL 33313-1600 | 2008-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122337 | Life Line Medical Group Inc | Clinic/Center | 12595 Sw 137th Ave Ste 206, Miami, FL 33186-4221 | 2020-10-20 |
| 1558977926 | Ohi West Medical Group, LLC | Clinic/Center | 603 7th St S Ste 350, St Petersburg, FL 33701-4732 | 2020-09-21 |
| 1205441615 | Washington Hills Primary Care | Clinic/Center | 4645 Plantation Oaks Blvd, Orange Park, FL 32065-3652 | 2020-09-11 |
| 1699380329 | Premier Health System LLC | Clinic/Center | 12970 Sw 133rd Ct Ste A, Miami, FL 33186-5806 | 2020-09-10 |
| 1093328163 | Sunmed Group LLC | Clinic/Center | 2499 Glades Rd Ste 305a, Boca Raton, FL 33431-7202 | 2020-08-28 |
| 1790398246 | Emc 360, LLC | Clinic/Center | 1008 Juliette Blvd, Mount Dora, FL 32757-6500 | 2020-08-25 |
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1548871866 | 1st Call Primary Care, LLC | Clinic/Center | 955 S Woodland Blvd Ste A1, Deland, FL 32720-7321 | 2020-08-11 |
| 1912517152 | Curos Inc | Clinic/Center | 1425 Sw 8th Ct, Ft Lauderdale, FL 33312-7291 | 2020-08-03 |
| 1104436492 | Caretinuum Health | Clinic/Center | 3208 W Lake Mary Blvd Ste 1710, Lake Mary, FL 32746-3467 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33311 |
Please comment or provide details below to improve the information on PRACTITIONER MEDICAL SERVICES INC.
| 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.