MR. ANDRE DORALD BRENNAN JR. (NPI# 1932626603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932626603 |
| Entity Type | Individual |
| Full Name | MR. ANDRE DORALD BRENNAN JR. |
| Credential | SA-C |
| Practice Address |
1995 E Oakland Park Blvd Suite 250 Fort Lauderdale FL 33306-1149 |
| Mailing Address |
21057 Nw 22nd Ave Apt 233 Miami Gardens FL 33056-1694 |
| Practice Telephone | 9547916146 |
| Practice Fax Number | 9543372733 |
| Mailing Telephone | 4046614518 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1995 E OAKLAND PARK BLVD SUITE 250 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33306-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508216292 | Roger J Canales | Specialist/Technologist, Other | 1995 E Oakland Park Blvd, Suite 250, Fort Lauderdale, FL 33306-1147 | 2016-06-14 |
| 1508216284 | Jorge Jarquin | Specialist/Technologist, Other | 1995 E Oakland Park Blvd, Suite 250, Fort Lauderdale, FL 33306-1147 | 2016-06-14 |
| 1215386024 | Alejandro Li | Specialist/Technologist, Other | 1995 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1147 | 2016-06-13 |
| 1073895132 | Raina Diedrick | Physician Assistant | 1995 E Oakland Park Blvd, Ste 310, Fort Lauderdale, FL 33306-1138 | 2011-09-15 |
| 1598067936 | Deborah's Nursing Services, Inc. | Home Health | 1995 E Oakland Park Blvd, Suite #115, Fort Lauderdale, FL 33306-1147 | 2010-11-17 |
| 1437304672 | Leonel Sebastian De La Flor | Registered Nurse | 1995 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1147 | 2008-12-01 |
| 1538203641 | John Anthony Torres | Physician Assistant | 1995 E Oakland Park Blvd, Suite 250, Fort Lauderdale, FL 33306-1147 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568927705 | Peaceful Prana Therapy, LLC | Social Worker | 2300 E Oakland Pk Blvd, Ste 206, Plantation, FL 33306 | 2019-02-01 |
| 1215429717 | Pain Treatment Specialists | Pain Medicine | 2601 E Oakland Park Blvd Ste 200, Fort Lauderdale, FL 33306 | 2018-05-31 |
| 1740779735 | Complete Family Dentistry, LLC | Dentist | 3015 Bayview Drive Suite B, Fort Lauderdale, FL 33306 | 2018-05-04 |
| 1104281856 | Raiselle Gittler | Massage Therapist | 4640 E Federal Hwy, Suite F, Fort Lauderdale, FL 33306 | 2015-12-23 |
| 1952703308 | Joseph Carlo Pastura | Dentist | 3051 N. Federal Hwy, Ft. Lauderdale, FL 33306 | 2014-09-17 |
| 1679857247 | Massage Therapy By Rina Richard Inc. | Massage Therapist | 2881 East Oakland Park Blvd. Ste # 113, Fort Lauderdale, FL 33306 | 2011-09-30 |
| 1467757393 | Paramount Wellness Group LLC | Chiropractor | 2745 E. Oakland Park Blvd., Fort Lauderdale, FL 33306 | 2011-01-25 |
| 1679800684 | Marcia Lynne Sills | Internal Medicine | 2741 Ne 34th Street, Fort Lauderdale, FL 33306 | 2009-11-11 |
| 1518133479 | Christopher M Schloss | Dentist | 2916 Bayview Drive, Fort Lauderdale, FL 33306 | 2008-05-01 |
| 1497926687 | Glenn Ross Caddy | Psychologist | 3101 North Federal Highway, Suite 301, Ft. Lauderdale, FL 33306 | 2008-03-17 |
| Find all providers in zip 33306 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346874138 | Lissette K Sanchez | Specialist/Technologist, Other | 1995 E Oakland Park Blvd Ste 350, Fort Lauderdale, FL 33306-1148 | 2020-03-02 |
| 1356993497 | Richenel St. Fleur | Specialist/Technologist, Other | 911 Alabama Ave, Fort Lauderdale, FL 33312-7327 | 2019-07-09 |
| 1285197483 | Alonzo Anibal Melendez Freytes | Specialist/Technologist, Other | 800 Se 15th St Apt 1, Fort Lauderdale, FL 33316-2616 | 2019-04-13 |
| 1669944351 | Rebeca Vallejo | Specialist/Technologist, Other | 2518 Bimini Ln, Fort Lauderdale, FL 33312-4750 | 2018-12-19 |
| 1588169361 | Gregory Arana | Specialist/Technologist, Other | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2018-03-26 |
| 1275047698 | Andres Velez | Specialist/Technologist, Other | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2017-11-21 |
| 1790294767 | Anibal Antonio Gaitan | Specialist/Technologist, Other | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2017-09-21 |
| 1396262663 | Giselle Carmy Uztariz | Specialist/Technologist, Other | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2017-08-27 |
| 1053849521 | Juan Francisco Liuzzi | Specialist/Technologist, Other | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2017-05-30 |
| 1831623024 | Angel Ricardo Robles | Specialist/Technologist, Other | 1995 E Oakland Park Blvd Ste 250, Fort Lauderdale, FL 33306-1149 | 2017-04-14 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33306 |
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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.