PLANTATION DIABETES & METABOLISM CLINIC, LLC (NPI# 1952342461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952342461 |
| Entity Type | Organization |
| Organization Name | PLANTATION DIABETES & METABOLISM CLINIC, LLC |
| Practice Address |
4101 Nw 4th St Suite 211 Plantation FL 33317-2850 |
| Practice Telephone | 9542368338 |
| Mailing Telephone | 9542368338 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT ENGLAND (VP) |
| Authorized Official Telephone | 9542368338 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4101 NW 4TH ST SUITE 211 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124629 | Andrew S Ellowitz | Orthopaedic Surgery | 4101 Nw 4th St, Suite 305, Plantation, FL 33317-2850 | 2005-09-13 |
| 1386141414 | Jessica Saint Clair | Nurse Practitioner | 4101 Nw 4th St, Plantation, FL 33317-2850 | 2018-04-05 |
| 1043757537 | Alan Bruce Dautch, Pa | Chiropractor | 4101 Nw 4th St, #208, Plantation, FL 33317-2850 | 2017-01-23 |
| 1750779682 | Claudine Mckenzie | Nurse Practitioner | 4101 Nw 4th St, Suite 200, Plantation, FL 33317-2850 | 2014-12-30 |
| 1073941324 | Syretta Morris | Nurse Practitioner | 4101 Nw 4th St, Suite 306, Plantation, FL 33317-2850 | 2013-10-24 |
| 1154762771 | Injury Treatment Center of Coral Springs, Inc. | Non-Pharmacy Dispensing Site | 4101 Nw 4th St, #208, Plantation, FL 33317-2850 | 2013-07-11 |
| 1235472671 | Genestem | Clinic/Center | 4101 Nw 4th St, Suite 211, Plantation, FL 33317-2850 | 2013-04-04 |
| 1710226055 | Michelle Margaret Roachford | Nurse Practitioner | 4101 Nw 4th St, Suite 306, Plantation, FL 33317-2850 | 2013-02-06 |
| 1891046199 | Jacqueline E. Smith Md. Pa | Ophthalmology | 4101 Nw 4th St, Suite 409, Plantation, FL 33317-2850 | 2012-09-26 |
| 1861748717 | Vicky Jasmine Marsh | Family Medicine | 4101 Nw 4th St, Suite 211, Plantation, FL 33317-2850 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| 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 |
|---|---|---|---|---|
| 1952941957 | Katelyn Juarez | Nurse Practitioner | 202 Nw 135th Way Unit 208, Plantation, FL 33325-7633 | 2020-01-08 |
| 1881232890 | Clara Mary Gonzalez Guevara | Nurse Practitioner | 01 S University Dr, Suite C136, Plantation, FL 33324 | 2019-12-20 |
| 1730739533 | Carla Sabrina Hoo-thoms | Nurse Practitioner | 100 Nw 76th Ave Apt 301, Plantation, FL 33324-2029 | 2019-09-13 |
| 1831664911 | Amed Usa LLC | Nurse Practitioner | 12401 Sw 1st Pl, Plantation, FL 33325-2715 | 2018-10-04 |
| 1285134429 | Natacha Mendez | Nurse Practitioner | 180 Sw 84th Ave Ste 201, Plantation, FL 33324-2731 | 2018-02-14 |
| 1760848592 | Guirlhaine Lynne Chancy | Nurse Practitioner | 1833 Nw 99th Ave, Plantation, FL 33322-5676 | 2016-01-08 |
| 1710392436 | Altegra Health Connections, LLC | Nurse Practitioner | 1200 S Pine Island Rd, Plantation, FL 33324-4413 | 2014-06-23 |
| 1255516373 | Kristen M Smith | Nurse Practitioner | 8251 W Broward Blvd Ste 304, Plantation, FL 33324-2703 | 2008-01-08 |
| 1871658674 | Marites Maulawin Montes | Nurse Practitioner | 8251 W Broward Blvd Ste 102, Plantation, FL 33324-2703 | 2006-12-22 |
| 1235297334 | Maria R Hellkamp | Nurse Practitioner | 6738 W Sunrise Blvd Ste 103, Plantation, FL 33313 | 2006-12-04 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
Please comment or provide details below to improve the information on PLANTATION DIABETES & METABOLISM CLINIC, LLC.
| 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.