SHYLA IMANI KISSOON


Address: 4830 Nw 7th St, Plantation, FL 33317-1410
Phone: 9546557641

SHYLA IMANI KISSOON (NPI# 1790399483) 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) 1790399483
Entity Type Individual
Full Name SHYLA IMANI KISSOON
Credential PA-C
Practice Address 4830 Nw 7th St
Plantation
FL 33317-1410
Practice Telephone 9546557641
Mailing Telephone 9546557641
Enumeration Date 2020-09-01
Last Update Date 2020-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
9113364 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4830 NW 7TH ST
City PLANTATION
State FL
Zip Code 33317-1410

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437704434 Md Now Medical Centers Inc Clinic/Center 4640 W Commercial Blvd, Tamarac, FL 33317 2019-08-06
1902348675 Atroypen Group, Inc Case Management 4330 W Broward Blvd Ste R, Plantation, FL 33317 2016-11-13
1417329665 Marie Eronne Jean Charles Nurse Practitioner 6901 Cypress Road, Plantation, FL 33317 2015-10-28
1871977025 Yanliceth Rodriguez Clinic/Center 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 2015-07-17
1710361472 Melissa Coffman Physician Assistant 960 Sw 74th Avenue, Plantation, FL 33317 2015-07-13
1134511058 Emad Ziaden Physical Therapist 747 S. State Rd 7, Plantation, FL 33317 2015-03-02
1760880710 Michael Robert Tanguay Orthotist 450 North State Road 7, Plantation, FL 33317 2014-12-08
1821427675 Mankame, Dipak M., D.d.s., P.a. Dentist 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 2013-11-02
1679828826 Kozy Kove Assisted Living Facility Assisted Living Facility 490 Nw 45 Terr, Plantation, FL 33317 2012-07-13
1205102845 Aratha Franklin Dixon Psychologist 4121 Nw 5th # 207, Plantation, FL 33317 2012-03-28
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104274760 Krayssa Surgical Assist, Pa Physician Assistant 601 Nw 82nd Ave Apt 331, Plantation, FL 33324-1397 2016-05-24
1710361472 Melissa Coffman Physician Assistant 960 Sw 74th Avenue, Plantation, FL 33317 2015-07-13
1710006788 Narasinha Sitaram Rao Physician Assistant 5202 Sw 11 Street, Plantation, FL 33317 2007-03-28
1033246194 Margaret J Miller Physician Assistant 861 Sw 78th Ave, Suite #100b, Plantation, FL 33324-3273 2007-02-27
1487209342 Bisma Shah Physician Assistant 901 S State Road 7, Plantation, FL 33317-4522 2019-08-07
1043745409 Ashley Elizabeth Marriott Physician Assistant 7700 W Sunrise Blvd, Plantation, FL 33322-4113 2017-04-24
1346611589 Beatriz A. Libos Physician Assistant 260 Sw 84th Ave, Plantation, FL 33324-2715 2015-10-14
1669874905 Brittany Margherita Cianelli Physician Assistant 8320 W Sunrise Blvd Ste 105, Plantation, FL 33322 2014-09-18
1861820482 Patricia Luzquinos Physician Assistant 350 N Pine Island Rd, Plantation, FL 33324-1849 2013-10-16
1649546870 Monique Lee Jaquith Physician Assistant 600 S Pine Island Rd, Suite 104, Plantation, FL 33324-3166 2012-04-02
Find all providers in PLANTATION

Competitor

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City PLANTATION
Zip Code 33317

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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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