HILARY A SOJDAK (NPI# 1558657593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558657593 |
Entity Type | Individual |
Full Name | HILARY A SOJDAK |
Other Name | HILARY ANNE RAUX |
Credential | APRN PMHNP |
Practice Address |
6804 Porto Fino Cir Ste 1 Fort Myers FL 33912-7139 |
Practice Telephone | 2393324700 |
Practice Fax Number | 8887695641 |
Mailing Telephone | 2393324700 |
Mailing Fax Number | 8887695641 |
Enumeration Date | 2011-06-28 |
Last Update Date | 2019-02-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
9400160 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
ARNP9400160 | FL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401385 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH | 13841883 | 01 |
Street Address |
6804 PORTO FINO CIR STE 1 |
City | FORT MYERS |
State | FL |
Zip Code | 33912-7139 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710395744 | Tms Center of Southwest Florida, LLC | Clinic/Center | 6804 Porto Fino Cir Ste 1, Fort Myers, FL 33912-7139 | 2014-07-22 |
1558632430 | Karen S Stanley | Social Worker | 6804 Porto Fino Cir Ste 1, Fort Myers, FL 33912-7139 | 2012-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
Find all providers in zip 33912 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538775366 | Rebecca Marie Deroche | Nurse Practitioner | 10810 Mcgregor Blvd, Fort Myers, FL 33919-1846 | 2020-09-17 |
1730711714 | Weekend Psychrx LLC | Nurse Practitioner | 17940 N Tamiami Trl Ste 110-519, Fort Myers, FL 33903-1413 | 2020-02-07 |
1124538764 | Patrick Harry Charles | Nurse Practitioner | 8229 Pacific Beach Dr, Fort Myers, FL 33966-7974 | 2017-10-10 |
1548697626 | Ann Hart | Nurse Practitioner | 4350 Fowler St Ste 24, Fort Myers, FL 33901-2698 | 2013-10-03 |
1215162094 | Karen S Woods | Nurse Practitioner | 12590 Whitehall Dr Ste 3, Fort Myers, FL 33907 | 2009-05-21 |
1174555726 | Linda Sebastian | Nurse Practitioner | 12717 Kingsmill Way, Fort Myers, FL 33913-8444 | 2006-07-06 |
1619575818 | Dylan Andrew Demars | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-10-12 |
1275159485 | Shayna Leeann Aguilar | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-06-23 |
1972139160 | Amanda Michelle Boroff | Nurse Practitioner | 4310 Metro Pkwy Ste 205, Fort Myers, FL 33916-9416 | 2020-03-19 |
1417515347 | Brittany Batton Murray | Nurse Practitioner | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2019-06-05 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33912 |
Please comment or provide details below to improve the information on HILARY A SOJDAK.
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.