MR. JONATHAN DAVID GILDIN (NPI# 1972804557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972804557 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN DAVID GILDIN |
| Credential | PA |
| Practice Address |
1625 E 3rd Ave Suite 300 Fort Lauderdale FL 33316 |
| Mailing Address |
1700 Nw 49th Street Suite 125 Fort Lauderdale FL 33309-3763 |
| Practice Telephone | 9543554665 |
| Practice Fax Number | 9543554881 |
| Mailing Telephone | 9543554665 |
| Mailing Fax Number | 9543554881 |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2017-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9105788 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DOH | PA9105788 | 01 |
| FL | 008462700 | 05 |
| Street Address |
1625 E 3RD AVE SUITE 300 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225432305 | Kaitlin Abers | Physician Assistant | 3000 Ne 57th St, Fort Lauderdale, FL 33308-2810 | 2014-10-17 |
| 1710230651 | Shelby A Lane | Physician Assistant | 3319 Ne 15th Ct, Fort Lauderdale, FL 33304-1709 | 2012-10-16 |
| 1952687741 | Michal S Goldshmid | Physician Assistant | 2774 West Davie Blvd, Riverland Medical Centers,inc., Fort Lauderdale, FL 33312 | 2011-10-25 |
| 1336447689 | Xavier Fernando Varela | Physician Assistant | 721 Se 17th Street Cswy, Fort Lauderdale, FL 33316-2983 | 2011-03-10 |
| 1144558636 | Brigitte Shaw | Physician Assistant | 1301 E Broward Blvd Ste 240, Fort Lauderdale, FL 33301 | 2009-11-23 |
| 1720066822 | Salvador Torres-torres | Physician Assistant | 1330 Se 4th Ave Ste B, Fort Lauderdale, FL 33316-1958 | 2006-01-09 |
| 1073065348 | Stephanie Lauren Banks | Physician Assistant | 1347 S Andrews Ave, Fort Lauderdale, FL 33316 | 2016-11-02 |
| 1255880696 | Jeanette Owens | Physician Assistant | 2307 W Broward Blvd Ste 200, Fort Lauderdale, FL 33312-1420 | 2016-09-27 |
| 1518338391 | Michelle Santamaria | Physician Assistant | 4701 N Federal Hwy, Suite A10, Fort Lauderdale, FL 33308-4608 | 2015-10-19 |
| 1811391352 | Victoria Schwartz | Physician Assistant | 2466 E Commercial Blvd Ste 101, Fort Lauderdale, FL 33308-4011 | 2014-10-13 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on MR. JONATHAN DAVID GILDIN.
| 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.