JACQUELINE K BRUDER (NPI# 1700416807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700416807 |
| Entity Type | Individual |
| Full Name | JACQUELINE K BRUDER |
| Credential | PMD |
| Practice Address |
1625 N Commerce Pkwy Ste 300 Weston FL 33326-3206 |
| Mailing Address |
2640 Sw 137th Ter Davie FL 33330-1132 |
| Practice Telephone | 9547656262 |
| Mailing Telephone | 9542144426 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | JA7201 | FL | Emergency Medical Service Providers |
| N | 247200000X | Technician, Other | JA7201 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1625 N COMMERCE PKWY STE 300 |
| City | WESTON |
| State | FL |
| Zip Code | 33326-3206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675226 | Mended Minds Corp. | Technician, Other | 1625 N Commerce Pkwy Ste 300, Weston, FL 33326-3206 | 2019-12-09 |
| 1609406701 | Patrice Jarrell | Registered Nurse | 1625 N Commerce Pkwy Ste 300, Weston, FL 33326-3206 | 2020-01-17 |
| 1780222786 | Hugh Bruder | Emergency Medical Technician, Paramedic | 1625 N Commerce Pkwy Ste 300, Weston, FL 33326-3206 | 2019-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739327 | Rosi Gimeno Therapy, Inc | Counselor | 304 Indian Trace, Suite 933, Weston, FL 33326 | 2020-10-28 |
| 1003425919 | Austin Lee Williams | Counselor | 1398 Sw 160th, Sunrise, FL 33326 | 2020-07-27 |
| 1467086272 | Myriam Taveras D.m.d P.a | Clinic/Center | 15810 West Sr 84, Sunrise, FL 33326 | 2020-03-02 |
| 1487288288 | Marcella Patino | Nurse Practitioner | 2300 North Commerce Parkway, Suite 313, Weston, FL 33326 | 2020-03-02 |
| 1194375451 | Heather Silversmith | Dietitian, Registered | 1875 North Corporate Lakes Blvd, Suite 300, Weston, FL 33326 | 2019-09-18 |
| 1669039285 | Jennifer Mann | Dietitian, Registered | 1647 Island Way, Weston, FL 33326 | 2019-05-20 |
| 1194283820 | Focused Home Health Agency, Inc. | Home Health | 2394 Weston Rd, Weston, FL 33326 | 2019-03-12 |
| 1083100796 | Comfort Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1398 Sw 160th Avenue, Suite 101, Sunrise, FL 33326 | 2018-07-05 |
| 1356839120 | Vision Optique II LLC | Optometrist | 2200 N Commerce Pkwy Ste 110, Weston, FL 33326 | 2018-04-27 |
| 1033654678 | Sirahaydee Pena-alcantara | Registered Nurse | 1571 Fairlake Trace Apt 1608, Weston, FL 33326 | 2017-01-05 |
| Find all providers in zip 33326 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222786 | Hugh Bruder | Emergency Medical Technician, Paramedic | 1625 N Commerce Pkwy Ste 300, Weston, FL 33326-3206 | 2019-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154047 | Richard James Valentine | Emergency Medical Technician, Paramedic | 2712 Miracle Pkwy, Cape Coral, FL 33914-3801 | 2020-08-14 |
| 1265057756 | Michael Enrique Mejia | Emergency Medical Technician, Paramedic | 1 Jeff Fuqua Blvd, Orlando, FL 32827-4392 | 2020-06-10 |
| 1932723012 | Dustin Comer | Emergency Medical Technician, Paramedic | 5855 Cargo Rd, Orlando, FL 32827-4349 | 2020-06-03 |
| 1528682010 | Symone Hawes | Emergency Medical Technician, Paramedic | 2566 Nw 86th Ave, Coral Springs, FL 33065-5338 | 2020-06-01 |
| 1396369989 | Andrew Finkley | Emergency Medical Technician, Paramedic | 2801 2nd Ave S, Saint Petersburg, FL 33712-1003 | 2020-05-30 |
| 1538709670 | Daniel James Hages II | Emergency Medical Technician, Paramedic | 6804 120th Pl, Largo, FL 33773-3513 | 2020-01-07 |
| 1619531464 | Estefany Laura Duarte | Emergency Medical Technician, Paramedic | 8565 Nw 5th Ter Apt 1403, Miami, FL 33126-3885 | 2019-04-26 |
| 1518481886 | Merrill Camel | Emergency Medical Technician, Paramedic | 8445 Sw 185th St, Cutler Bay, FL 33157-7237 | 2017-07-28 |
| 1265965008 | David Charles Ellner | Emergency Medical Technician, Paramedic | 410 Sixth Avenue East, Rm # 123-b, Bradenton, FL 34208-1928 | 2017-04-08 |
| 1881046340 | Christian Heskestad | Emergency Medical Technician, Paramedic | 1465 Ne 121st St, Apt 514, North Miami, FL 33161-6540 | 2016-07-08 |
| Find all providers with the same taxonomy | ||||
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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.