MISS LUCIA V KODAN


Address: 1701 Ne 191 Street, Suite A 401, North Miami Beach, FL 33179
Phone: 3055884258

MISS LUCIA V KODAN (NPI# 1659402949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659402949
Entity Type Individual
Full Name MISS LUCIA V KODAN
Credential ARNP
Practice Address 1701 Ne 191 Street
Suite A 401
North Miami Beach
FL 33179
Mailing Address 1701 Ne 191st St
Suite -a 401
North Miami Beach
FL 33179-4200
Practice Telephone 3055884258
Mailing Telephone 3055884258
Enumeration Date 2007-03-08
Last Update Date 2007-12-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
3006432 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1701 NE 191 STREET
SUITE A 401
City NORTH MIAMI BEACH
State FL
Zip Code 33179

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1912420647 Barbara Ann Hunter Social Worker 20170 Ne 3 Court Unit 1, Miami, FL 33179 2017-07-25
1356875660 Germanie Marlene Casanova Counselor 1300 Ne 204 Street, Miami, FL 33179 2017-04-13
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1952908352 Karen Weinstock Nurse Practitioner 7148 Sportsmans Dr, North Lauderdale, FL 33068-5456 2020-10-08
1396342754 Pamela Ziel Nurse Practitioner 545 Lakeside Cir, Sunrise, FL 33326-2136 2020-10-07
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Competitor

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City NORTH MIAMI BEACH
Zip Code 33179

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Dataset Information

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.

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