NICOLE NICOPHENE (NPI# 1760703995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760703995 |
| Entity Type | Individual |
| Full Name | NICOLE NICOPHENE |
| Credential | M.D. |
| Practice Address |
5109 Coconut Creek Pkwy Margate FL 33063-3914 |
| Mailing Address |
1608 Se 3rd Ave 3rd Fl Fort Lauderdale FL 33316-2564 |
| Practice Telephone | 9547597477 |
| Practice Fax Number | 9549598055 |
| Mailing Telephone | 9547597477 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2017-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME-113823 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009090000 | 05 | |
| FLORIDA BLUE | 14R3K | 01 |
| Street Address |
5109 COCONUT CREEK PKWY |
| City | MARGATE |
| State | FL |
| Zip Code | 33063-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912301599 | Vickey Prospere Robillard | Nurse Practitioner | 5109 Coconut Creek Pkwy, Margate, FL 33063-3914 | 2014-10-10 |
| 1124430319 | North Broward Hospital District | Obstetrics & Gynecology | 5109 Coconut Creek Pkwy, Margate, FL 33063-3914 | 2014-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978734 | Ashley Bayliss | Counselor | Legacy Healing Center Margate, 2960 N State Road 7 Ste 102, Margate, FL 33063 | 2020-09-30 |
| 1366051872 | Tasheen Fletcher | Social Worker | 4716 West Atlantic Blvd, Coconut Creek, FL 33063 | 2020-07-30 |
| 1437768116 | Care for You Medical Center, LLC | Clinic/Center | 5412 West Atlantic Blvd, Margate, FL 33063 | 2020-07-28 |
| 1073130621 | Freedom of Speech Therapy Center | Clinic/Center | 6344 Duval Drive, Margate, FL 33063 | 2020-06-30 |
| 1326683558 | Timekia Miller | Nurse Practitioner | 6343 Harbor Bnd, Margate, FL 33063 | 2019-11-12 |
| 1487138236 | Kavine Annita Taylor-dyke | Nurse Practitioner | 272 Nw 80th Terrace, Margate, FL 33063 | 2018-09-18 |
| 1750890513 | Breath of Life Medical Center Inc | Internal Medicine | 5090 Coconut Creek Pkwy, Margate, FL 33063 | 2017-09-25 |
| 1881116796 | Stephanie Lola Backer | Nurse Practitioner | 5825 Toscana Place, Apt 206, Margate, FL 33063 | 2017-07-12 |
| 1346761384 | Kayan Oconnor Robinson | Technician, Other | 300 Lakewood Circle, Unit C, Margate, FL 33063 | 2017-06-29 |
| 1245610138 | Shailee B Patel | Dermatology | 3275 N. State Road 7, Margate, FL 33063 | 2015-06-04 |
| Find all providers in zip 33063 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714197 | Giorvanie Fleurme | Family Medicine | 6200 Duval Dr, Margate, FL 33063-7074 | 2020-03-06 |
| 1881115855 | Trang Huyen Van | Family Medicine | 5596 W Sample Rd, Margate, FL 33073-3423 | 2017-06-29 |
| 1881021616 | Arcor LLC | Family Medicine | 100 N State Road 7 Ste 301b, Margate, FL 33063-4558 | 2013-10-11 |
| 1104251081 | Primenet Medical Group, Inc. | Family Medicine | 1100 S State Road 7, Suite 104, Margate, FL 33068-4033 | 2013-09-10 |
| 1952549719 | Sergio Antonio Arguello | Family Medicine | 100 N State Road 7 Ste 203b, Margate, FL 33063-4528 | 2009-01-31 |
| 1225219694 | Arcor, Inc. | Family Medicine | 7618 Margate Blvd, Margate, FL 33063 | 2007-11-14 |
| 1215065370 | Robert Jay Auston | Family Medicine | 3038 Marion Ave, Margate, FL 33063 | 2007-03-01 |
| 1104931963 | Florida Institute of Health Ltd Lllp | Family Medicine | 175 St Rd 7, Margate, FL 33068 | 2006-08-20 |
| 1528070018 | Family Care Associates P A | Family Medicine | 2131 N State Road 7, Margate, FL 33063-5713 | 2006-08-12 |
| 1164459244 | Ross J Schwarz | Family Medicine | 1316 N State Road 7, Margate, FL 33063-2843 | 2006-06-26 |
| Find all providers in MARGATE | ||||
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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.