MRS. ROSE CALI BRADWELL I (NPI# 1942478656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942478656 |
| Entity Type | Individual |
| Full Name | MRS. ROSE CALI BRADWELL I |
| Other Name | ROSE CALI ST. JACQUES |
| Credential | PA-C |
| Practice Address |
3800 S Ocean Dr Ste 209 Hollywood FL 33019-2915 |
| Mailing Address |
1097 Big Torch St Riviera Beach FL 33407-1140 |
| Practice Telephone | 3054669988 |
| Practice Fax Number | 3054669989 |
| Mailing Telephone | 5618451669 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9102203 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9102203 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | HT448Z | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11621 Kew Gardens Ave, Suite 101, Palm Beach Gardens, FL 334102853 | 5616303870 | 5616303680 |
| Street Address |
3800 S OCEAN DR STE 209 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33019-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568428266 | Steven Magilen | Surgery | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019 | 2006-04-22 |
| 1164056420 | Victoria Howell | Physician Assistant | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 | 2020-02-26 |
| 1013576511 | Kettelie Henry | Nurse Practitioner | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 | 2019-06-07 |
| 1215592415 | Amna-marie Mohammad Ciantar | Nurse Practitioner | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 | 2019-05-03 |
| 1942865324 | Sarah Willey | Nurse Practitioner | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 | 2019-05-01 |
| 1457825390 | Clifton Neal Amos | Physician Assistant | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 | 2019-01-14 |
| 1346718947 | Natacha Blanchet | Nurse Practitioner | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 | 2018-11-13 |
| 1427558329 | Amanda Nicholas Jones | Nurse Practitioner | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 | 2018-02-16 |
| 1861906612 | Morris Anthony Chemell | Pain Medicine | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 | 2017-11-30 |
| 1356852123 | Qsm-ga, Inc. | Nurse Practitioner | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915 | 2017-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669868469 | Francine Safdeye | Occupational Therapist | 1201 S Ocean Dr. #1102s, Hollywood, FL 33019 | 2015-04-09 |
| 1932507217 | Alina Benin | Chiropractor | 2201 S. Ocean Dr. #801, Hollywood, FL 33019 | 2014-12-18 |
| 1568745610 | Ali Farrokhi | Dentist | 3000 S. Ocean Dr, Apt. # 1204, Hollywood, FL 33019 | 2011-09-26 |
| 1063706356 | Ann E Bivona | Registered Nurse | 3725 South Ocean Drive #1612, Hollywood, FL 33019 | 2011-06-03 |
| 1114180593 | Jeffrey A Levy Md Inc | Internal Medicine | 1600 Diplomat Parkway, Hollywood, FL 33019 | 2008-07-07 |
| 1700063443 | Wendy Gentile Sosa | Contractor | 3505 S. Ocean Drive, 1209, Hollywood, FL 33019 | 2008-01-24 |
| 1366598294 | Eduard Kaplan | Specialist/Technologist, Other | 1571 Yello Heart Way, Hollywood, FL 33019 | 2007-01-25 |
| 1235236712 | Florida Family Options, Inc. | Marriage & Family Therapist | 2101 S. Ocean Drive, Suite 2103, Hollywood, FL 33019 | 2006-09-19 |
| 1003919424 | Jessica L. Vera | Counselor | 1060 Oysterwood St, Hollywood, FL 33019 | 2006-09-07 |
| 1164614939 | Louis Richard Didonato | Radiology | 6001 N Ocean Dr, Apt 1206, Hollywood, FL 33019 | 2007-08-15 |
| Find all providers in zip 33019 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306120746 | Odalis Castellon | Physician Assistant | 3449 Johnson Street, Hollywood, FL 33021 | 2011-10-04 |
| 1700992559 | Magdalena Marie Gonzalez | Physician Assistant | 1150 N 35th Ave Ste 600, Hollywood, FL 33021 | 2006-08-22 |
| 1003381526 | Andrea Lobue | Physician Assistant | 4700 Sheridan St Ste H, Hollywood, FL 33021-3416 | 2018-10-11 |
| 1699160705 | Melissa Lee Chapman-leccesse | Physician Assistant | 1150 N 35th Ave, Suite 345, Hollywood, FL 33021-5424 | 2015-04-06 |
| 1225420441 | Shari Selesky | Physician Assistant | 1150 N 35th Avenue, Ste 600, Hollywood, FL 33021 | 2015-02-25 |
| 1790087856 | Blue Lion Medical | Physician Assistant | 3600 Washington St, Hollywood, FL 33021-8216 | 2010-11-23 |
| 1831418458 | Armaal Rashard Hunter | Physician Assistant | 1150 N 35th Avenue, Suite 440, Hollywood, FL 33021-5430 | 2010-05-21 |
| 1467538462 | Krystal M Buckland | Physician Assistant | 1150 N 35th Ave, Ste 345, Hollywood, FL 33021 | 2006-10-31 |
| 1518052885 | Christina Marie Callan | Physician Assistant | 1150 N 35th Ave, Suite 345, Hollywood, FL 33021 | 2006-10-04 |
| 1245346063 | Krysten Riordan | Physician Assistant | 4440 Sheridan St, Hollywood, FL 33021-3535 | 2006-08-22 |
| Find all providers in HOLLYWOOD | ||||
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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.