FLORIDA MEDICAL AND DIAGNOSTIC CENTER (NPI# 1942860093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942860093 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEDICAL AND DIAGNOSTIC CENTER |
| Practice Address |
3020 Ne 32nd Ave Ste 305 Fort Lauderdale FL 33308-7204 |
| Practice Telephone | 9543023048 |
| Practice Fax Number | 7185541666 |
| Mailing Telephone | 9543023048 |
| Mailing Fax Number | 7185541666 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | MRS. BOGOMOLOVA YULIA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9543023048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LIC | 9238727 | 01 |
| Other Name | Type Code |
|---|---|
| FLORIDA MEDICAL AND DIAGNOSTIC CENTER | Doing Business As Name - Organization |
| Street Address |
3020 NE 32ND AVE STE 305 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699297861 | New York Medical Center | Internal Medicine | 3020 Ne 32nd Ave Ste 305, Fort Lauderdale, FL 33308-7204 | 2017-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563446 | Tempes L Wood | Nurse Practitioner | 1881 Middle River Dr Apt 201, Fort Lauderdale, FL 33305-3555 | 2020-09-16 |
| 1093332140 | Joao Rodrigues | Nurse Practitioner | 725 Ne 14th St, Fort Lauderdale, FL 33304-1211 | 2020-07-05 |
| 1497388169 | Chessi Delaine Riner | Nurse Practitioner | 400 Sw 1st Ave Apt 2201, Fort Lauderdale, FL 33301-3493 | 2020-02-20 |
| 1235762097 | Lori Ellen Retterath | Nurse Practitioner | 1401 Ne 5th Ct, Fort Lauderdale, FL 33301-1269 | 2020-02-19 |
| 1164069720 | Amy Hilary Gordon | Nurse Practitioner | 1625 Se 3rd Ave # 502, Fort Lauderdale, FL 33316-2521 | 2019-12-03 |
| 1942843313 | Bableen Kaur Bajwa | Nurse Practitioner | 2699 Stirling Rd Ste B101, Fort Lauderdale, FL 33312-6546 | 2019-10-17 |
| 1184273443 | Jennifer Marie Holody | Nurse Practitioner | 1040 Ne 16th Ave Apt 2, Fort Lauderdale, FL 33304-2516 | 2019-09-10 |
| 1164994927 | Kristen Rothstein | Nurse Practitioner | 2504 Sw 14th Ave Apt 606, Fort Lauderdale, FL 33315-2256 | 2018-12-18 |
| 1235619107 | Isa Vazquez | Nurse Practitioner | 1930 Ne 47th St Ste 300, Fort Lauderdale, FL 33308-7729 | 2018-08-20 |
| 1669969911 | Lauri Deane | Nurse Practitioner | 100 N Federal Hwy # C2, Fort Lauderdale, FL 33301-1129 | 2018-04-21 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.