LEON BEAULIEU (NPI# 1881947190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881947190 |
| Entity Type | Individual |
| Full Name | LEON BEAULIEU |
| Credential | AA |
| Practice Address |
1613 N. Harrison Parkway Suite 200 Sunrise FL 33323-2853 |
| Mailing Address |
1613 North Harrison Parkway Suite 200 Sunrise FL 33323-2853 |
| Practice Telephone | 9545144793 |
| Practice Fax Number | 9548511746 |
| Mailing Telephone | 9545144793 |
| Mailing Fax Number | 9548511746 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | AA149 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1613 N. HARRISON PARKWAY SUITE 200 |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912983123 | Maria Carmen Antigua | Pediatrics | 1613 N. Harrison Parkway, Sunrise, FL 33323 | 2005-12-20 |
| 1588086300 | Sheridan Clinical Research, Inc. | Specialist | 1613 N. Harrison Parkway, Building C, Suite 200, Sunrise, FL 33323-2896 | 2014-01-14 |
| 1396099859 | Bradley Bieberberg | Anesthesiologist Assistant | 1613 N. Harrison Parkway, Suite 200, Sunrise, FL 33323-2853 | 2012-11-06 |
| 1407175292 | Donna M. Durham | Nurse Practitioner | 1613 N. Harrison Parkway, Ste 200, Sunrise, FL 33323-2896 | 2010-05-19 |
| 1811136237 | Darcie Lynne Deangelis | Nurse Anesthetist, Certified Registered | 1613 N. Harrison Parkway, Sunrise, FL 33323-2853 | 2009-02-09 |
| 1316038532 | Nit Khamvongs | Nurse Practitioner | 1613 N. Harrison Parkway, Sunrise, FL 33323 | 2006-09-27 |
| 1821059064 | Saunja S Terrell-burt | Audiologist | 1613 N. Harrison Parkway, #200, Sunrise, FL 33323-2853 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1740785062 | Rodolfo Walse Asis Jr. | Physical Medicine & Rehabilitation | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | 2018-03-28 |
| 1558890913 | Juliana Andrea Duque | Technician, Health Information | 11301 Nw 29th Street, Sunrise, FL 33323 | 2017-06-08 |
| 1487183026 | Alejandra Lamardo | Specialist/Technologist | 3634 Nw 122nd Ter, Sunrise, FL 33323 | 2017-06-07 |
| 1831630623 | Kayode David Ojetola | Physical Therapist | 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 | 2017-03-14 |
| 1467990770 | Gerardo Pre Dinglasan Jr. | Physical Therapist | 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 | 2017-02-07 |
| 1184161630 | Praveen Mishra | Physical Therapist | 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 | 2017-01-23 |
| 1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
| 1558718916 | Shirley Freckleton-williams | Nurse Practitioner | 13110 Nw 11th Drive, Sunrise, FL 33323 | 2016-05-16 |
| 1376927525 | Tai Lyn Auras | Nurse Practitioner | 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 | 2015-07-17 |
| Find all providers in zip 33323 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386947703 | Amy Muncaster Boz | Anesthesiologist Assistant | 13745 Nw 22nd Pl, Sunrise, FL 33323-5310 | 2010-12-07 |
| 1982136925 | Eric Ahlstedt | Anesthesiologist Assistant | 1500 Concord Ter Fl 5, Sunrise, FL 33323-2815 | 2017-03-29 |
| 1518411503 | Michael Adam Grayson | Anesthesiologist Assistant | 1301 Concord Ter, Sunrise, FL 33323-2843 | 2016-08-08 |
| 1205232949 | Victoria Ashley Fernandez | Anesthesiologist Assistant | 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2896 | 2014-11-07 |
| 1952705683 | Michael Mingione | Anesthesiologist Assistant | 1613 N. Harrison Pkwy, Suite 200, Sunrise, FL 33323 | 2014-10-09 |
| 1588090641 | Debisha A. Mckenzie | Anesthesiologist Assistant | 1613 Harrison Pkwy Ste 200, Sunrise, FL 33323-2853 | 2013-09-20 |
| 1982039616 | Barbara Buzzella | Anesthesiologist Assistant | 1613 Harrison Pkwy, Suite 200, Sunrise, FL 33323-2896 | 2013-09-12 |
| 1326473059 | Justin R. Sabates | Anesthesiologist Assistant | 1613 Harrison Pkwy, Suite 200, Sunrise, FL 33323-2896 | 2013-09-12 |
| 1396099859 | Bradley Bieberberg | Anesthesiologist Assistant | 1613 N. Harrison Parkway, Suite 200, Sunrise, FL 33323-2853 | 2012-11-06 |
| 1295088276 | Diana Granados | Anesthesiologist Assistant | 1613 Harrison Pkwy, Ste 200, Sunrise, FL 33323-2896 | 2012-10-16 |
| Find all providers in SUNRISE | ||||
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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.