CHARLES BRUCE DELANEY (NPI# 1740394246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740394246 |
| Entity Type | Individual |
| Full Name | CHARLES BRUCE DELANEY |
| Credential | PA |
| Practice Address |
3810 Sw 51st Street Fort Lauderdale FL 33312 |
| Practice Telephone | 7865431041 |
| Mailing Telephone | 7865431041 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA3587 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | PA3587 | 01 |
| Street Address |
3810 SW 51ST STREET |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112965 | Krista Moreno | Marriage & Family Therapist | 2699 Stirling Road Building C Suite 403e, Fort Lauderdale, FL 33312 | 2020-01-03 |
| 1700428026 | Caring Village of Lauderdale LLC | Assisted Living Facility | 408-412 Sw 7th Ave, Fort Lauderdale, FL 33312 | 2019-10-09 |
| 1548742356 | Inspire Acupuncture | Acupuncturist | 1000 Riverside Drive, Fort Lauderdale, FL 33312 | 2018-08-29 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1649798653 | Angel Luis Perez | Nurse Practitioner | 3041 Sw 47 Street, Fort Lauderdale, FL 33312 | 2017-08-30 |
| 1902322738 | Ashley Ingrid Rini | Dentist | 1620 Sw 33rd Ave, Fort Lauderdale, FL 33312 | 2017-08-14 |
| 1548794993 | Elise Cruz | Nurse Practitioner | 3301 Sw 16th Street, Fort Lauderdale, FL 33312 | 2017-04-12 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1902344252 | Melissa Miller | Counselor | 2962 Southwest 26th Terrace, 204, Fort Lauderale, FL 33312 | 2017-02-07 |
| 1164975934 | Brandon Nieves Stella | Technician, Other | 620 Sw 14th Ter, Fort Lauderdale, FL 33312 | 2016-07-28 |
| Find all providers in zip 33312 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124654538 | Joanna Gasdogas | Physician Assistant | 6451 N Federal Hwy Ste 700, Fort Lauderdale, FL 33308-1420 | 2020-03-17 |
| 1487299178 | Johanne Louis | Physician Assistant | 730 Nw 19th St Apt West, Fort Lauderdale, FL 33311-4006 | 2019-11-17 |
| 1013551266 | Tito Velasquez | Physician Assistant | 1160 N Federal Hwy Apt 1023, Fort Lauderdale, FL 33304-1436 | 2019-10-31 |
| 1275001406 | Michael Louis Alexander Jr. | Physician Assistant | 1940 Ne 47th St Ste 1, Fort Lauderdale, FL 33308-7711 | 2018-11-06 |
| 1972088706 | Kayla Lynn Ventura | Physician Assistant | 4801 N Federal Hwy Ste 101, Fort Lauderdale, FL 33308-4618 | 2018-09-27 |
| 1528557394 | Allied Health Provider LLC | Physician Assistant | 1625 Ne 3rd Ct, Fort Lauderdale, FL 33301-3808 | 2018-05-07 |
| 1396246005 | Marissa Amina Kazim | Physician Assistant | 3465 Galt Ocean Dr Ste 101, Fort Lauderdale, FL 33308-7077 | 2018-02-27 |
| 1306356886 | Jennifer Ashley Alexander | Physician Assistant | 4701 N Federal Hwy Ste A39, Fort Lauderdale, FL 33308-4608 | 2017-10-10 |
| 1366842585 | Hannah Silverman | Physician Assistant | 4800 Ne 20th Ter Ste 115, Fort Lauderdale, FL 33308-4510 | 2014-08-25 |
| 1811240518 | Angela Kakaley Hall | Physician Assistant | 900 Ne 26th Ave, Fort Lauderdale, FL 33304-3607 | 2012-10-18 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33312 |
Please comment or provide details below to improve the information on CHARLES BRUCE DELANEY.
| 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.