DR. CARLEENE ANTHONETT BRYAN (NPI# 1710263009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710263009 |
| Entity Type | Individual |
| Full Name | DR. CARLEENE ANTHONETT BRYAN |
| Credential | M.D. |
| Practice Address |
10101 Forest Hill Blvd Wellington FL 33414-6103 |
| Mailing Address |
4305 Banyan Trails Dr Coconut Creek FL 33073-5107 |
| Practice Telephone | 5617988500 |
| Mailing Telephone | 6465755772 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2018-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
ME115887 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
10101 FOREST HILL BLVD |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788667 | Leonid Zaslavskiy | Anesthesiology | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2005-08-26 |
| 1033734462 | Stacey Ann Loffredo | Nurse Anesthetist, Certified Registered | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-06-11 |
| 1881213536 | Autumn Lee Davis | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-13 |
| 1053940320 | Courtney Konchan | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-07 |
| 1841829744 | Mirsha Stiven | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-03 |
| 1912534520 | Ashleigh Dugas Dupuy | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-03-24 |
| 1982163515 | Winta Haile Assefaw | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-13 |
| 1629537287 | Anastasia Veresciac | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-13 |
| 1609334531 | Tamara Coleburn | Nurse Practitioner | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-11 |
| 1811455173 | Andrea Erickson | Physician Assistant | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851816136 | Ellen Eisenberg | Pediatrics | 4599 Nw 26th Ave, Boca Raton, FL 33434-2521 | 2017-08-08 |
| 1104367093 | Joyce Peabody | Pediatrics | 1495 Estuary Trl, Delray Beach, FL 33483-5962 | 2017-03-13 |
| 1730518085 | John J Esslinger | Pediatrics | 8427 Southpark Cir, Suite 500, Orlando, FL 32819-9058 | 2013-11-07 |
| 1407148406 | Stephanie Shevon Turner | Pediatrics | 3501 Johnson St., Joe Dimaggio Children's Hospital, Hollywood, FL 33021 | 2011-05-09 |
| 1275823247 | Sarah A. Bajorek | Pediatrics | 83 W Miller St # Mp324, Orlando, FL 32806-2031 | 2011-04-12 |
| 1548561186 | Juan Miguel Fuentes Guerra | Pediatrics | 7800 Sw 21st St, Miami, FL 33155-6510 | 2010-11-13 |
| 1710299581 | Whitney Blake Eldridge | Pediatrics | 4321 N Macdill Ave Ste 304, Tampa, FL 33607-6390 | 2010-07-09 |
| 1972826113 | Kim Stepnen Haskins | Pediatrics | 10609 Indian Trl, Cooper City, FL 33328-5513 | 2010-03-02 |
| 1811178098 | Mohammed Rashed Shareef | Pediatrics | 5333 Sw 75th St Apt W140, Gainesville, FL 32608-7452 | 2007-11-16 |
| 1356535751 | Kanchan Mishra | Pediatrics | 5955 Ponce De Len Blvd, Coral Gables, FL 33146 | 2007-08-29 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
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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.