MRS. MELISSA RAE PELOSI (NPI# 1881148419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881148419 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA RAE PELOSI |
| Credential | PA |
| Practice Address |
9035 Pines Blvd Pembroke Pines FL 33024 |
| Mailing Address |
215 Se 8th Ave Apt 680 Fort Lauderdale FL 33301-3885 |
| Practice Telephone | 9543780333 |
| Mailing Telephone | 5612517610 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9109769 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI | 1881148419 | 01 |
| Street Address |
9035 PINES BLVD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104874734 | Michael Mirander | Family Medicine | 9035 Pines Blvd, Pembroke Pines, FL 33024-6440 | 2006-05-05 |
| 1538483029 | Solantic of South Fl, LLC | Pharmacy | 9035 Pines Blvd, Pembroke Pines, FL 33024-6440 | 2010-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154953826 | Anne Marie Salsbury Company | Physician Assistant | 601 Nw 179th Ave Ste 102, Pembroke Pines, FL 33029-2819 | 2020-02-10 |
| 1598271322 | Kaitlyn Rowan | Physician Assistant | 2210 Nw 167th Ave Apt 9-206, Pembroke Pines, FL 33028-1877 | 2017-12-15 |
| 1518404482 | Oscar Miranda | Physician Assistant | 18456 Nw 24 Street, Pembroke Pines, FL 33029 | 2017-01-30 |
| 1760721617 | Katherine V Marshall | Physician Assistant | 680 North University Dr, Pembroke Pines, FL 33024 | 2013-02-12 |
| 1629386396 | Luis D'montique Soriano | Physician Assistant | 1220 Bel Aire Dr W, Pembroke Pines, FL 33027-2220 | 2010-09-15 |
| 1972721256 | Gustavo A Aguilar | Physician Assistant | Boulevard Professional Centre 10796 Pines Blvd Ste 103, Pembroke Pines, FL 33026 | 2007-04-23 |
| 1285771808 | Derrick Anthony Davis | Physician Assistant | 320 S Flamingo Rd, # 112, Pembroke Pines, FL 33027-1770 | 2007-01-31 |
| 1063473502 | Cynthia L Stimeck | Physician Assistant | 20021 Nw 3rd St, Pembroke Pines, FL 33029-3312 | 2006-03-31 |
| 1124096946 | Robert J Bertot | Physician Assistant | 703 N Flamingo Road, Pembroke Pines, FL 33028 | 2006-03-08 |
| 1851921738 | Katherin Rodriguez | Physician Assistant | 501 Nw 179th Ave, Pembroke Pines, FL 33029-2807 | 2020-01-20 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
Please comment or provide details below to improve the information on MRS. MELISSA RAE PELOSI.
| 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.