AUNGELIQUE JOAN BOLDERSON (NPI# 1831672260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831672260 |
| Entity Type | Individual |
| Full Name | AUNGELIQUE JOAN BOLDERSON |
| Credential | PA-C |
| Practice Address |
8251 W Broward Blvd Ste 300 Plantation FL 33324-2703 |
| Practice Telephone | 9544759244 |
| Practice Fax Number | 9544750848 |
| Mailing Telephone | 9544759244 |
| Mailing Fax Number | 9544750848 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9111588 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8251 W BROWARD BLVD STE 300 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33324-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831283373 | Jeffrey Howard Newman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8251 W Broward Blvd Ste 300, Plantation, FL 33324-2703 | 2006-10-02 |
| 1952949737 | Tori Vives | Physician Assistant | 8251 W Broward Blvd Ste 300, Plantation, FL 33324-2703 | 2019-12-12 |
| 1053707034 | Samantha Frances Bunting | Obstetrics & Gynecology | 8251 W Broward Blvd Ste 300, Plantation, FL 33324-2703 | 2015-04-07 |
| 1609215698 | Roby Abraham | Orthopaedic Surgery | 8251 W Broward Blvd Ste 300, Plantation, FL 33324-2703 | 2013-06-23 |
| 1497980296 | Yoav Ritter | Neurological Surgery | 8251 W Broward Blvd Ste 300, Plantation, FL 33324-2703 | 2009-05-21 |
| 1245485424 | Berkley Calvin Curtis Jr. | Physician Assistant | 8251 W Broward Blvd Ste 300, Plantation, FL 33324-2703 | 2008-12-01 |
| 1477747731 | Clive Woods | Orthopaedic Surgery | 8251 W Broward Blvd Ste 300, Plantation, FL 33324-2703 | 2007-08-30 |
| 1972700276 | Andreas C Tomac | Neurological Surgery | 8251 W Broward Blvd Ste 300, 1000 Euclid Avenue Depaerment of Neurosurgery, Plantation, FL 33324-2703 | 2007-06-29 |
| 1205957784 | Mike E. Buitrago | Nurse Practitioner | 8251 W Broward Blvd Ste 300, Plantation, FL 33324-2703 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395382 | Jose A Zarranz | Pharmacist | 9648 Nw 7th Circle, Apt 1914, Plantation, FL 33324 | 2020-08-07 |
| 1275142234 | Leann Dehoff, Phd, Lmhc, Inc. | Clinic/Center | 150 S Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2020-07-27 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1629636030 | Carey Brown | Behavior Technician | 3 S Pine Island Rd, Apt 215, Ft. Lauderdale, FL 33324 | 2019-05-31 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1528597952 | Loretta Epsen | Counselor | 851 Nw 85th Terr #1906, Plantation, FL 33324 | 2017-06-08 |
| 1497289409 | Leann Gale Dehoff | Counselor | 150 South Pine Island Road, Suite 300, Unit 94, Plantation, FL 33324 | 2017-04-17 |
| 1851842918 | Maria Clara Rodriguez Andrade | Technician, Other | 2440 Sw 105 Terrace, Davie, FL 33324 | 2016-10-24 |
| 1447703947 | Herltg-debbie M Louis | Nurse Practitioner | 800 S University Dr, C-136, Plantation, FL 33324 | 2016-08-01 |
| Find all providers in zip 33324 | ||||
| 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 |
|---|---|---|---|---|
| 1922620756 | Ashley Elizabeth Martin | Physician Assistant | 7441 Nw 13th Ct, Plantation, FL 33313-5927 | 2020-05-14 |
| 1649745993 | Christina Maria Gutierrez | Physician Assistant | 220 Sw 84th Ave Ste 101, Plantation, FL 33324-2729 | 2018-10-12 |
| 1578076410 | Eden Avni | Physician Assistant | 950 S Pine Island Rd Ste A-180, Plantation, FL 33324 | 2017-11-14 |
| 1154866952 | Chad Van Horn | Physician Assistant | 6921 Cypress Rd Apt C19, Plantation, FL 33317-2354 | 2017-01-03 |
| 1568717536 | Jodee Freiman | Physician Assistant | 4161 Nw 5th St Ste 100, Plantation, FL 33317-2101 | 2012-07-17 |
| 1528180635 | Stephen Robert Wright | Physician Assistant | 10025 Cleary Blvd, Plantation, FL 33324-1000 | 2007-04-06 |
| 1891775375 | Paul Cumello | Physician Assistant | 901 S State Road 7, Plantation, FL 33317-4522 | 2006-01-19 |
| 1235752395 | Sherry Sharareh Ebadian | Physician Assistant | 801 S University Dr Ste C136, Plantation, FL 33324-3366 | 2020-05-24 |
| 1629602594 | Laura Prado | Physician Assistant | 9729 N New River Canal Rd Apt 626, Plantation, FL 33324-3444 | 2020-02-28 |
| 1356989305 | Stephanie Zelaya | Physician Assistant | 6931 W Broward Blvd, Plantation, FL 33317-2902 | 2019-12-19 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33324 |
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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.