ALEXANDER MAZEKINA TAIRA (NPI# 1982061214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982061214 |
| Entity Type | Individual |
| Full Name | ALEXANDER MAZEKINA TAIRA |
| Practice Address |
300 Nw 70th Ave Ste 205 Plantation FL 33317-2367 |
| Practice Telephone | 9543215428 |
| Practice Fax Number | 9545830660 |
| Mailing Telephone | 9543215428 |
| Mailing Fax Number | 9545830660 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9385407 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | APRN | APRN9385407 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 710 Oak Commons Blvd, Kissimmee, FL 347414100 | 4078466747 | 4078466186 |
| Street Address |
300 NW 70TH AVE STE 205 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-2367 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582681 | Magalie Marie Chery | Nurse Practitioner | 1408 Nw 81st Ter, Plantation, FL 33322-4667 | 2020-09-15 |
| 1679182943 | Sophia Nadine Landell | Nurse Practitioner | 4580 Nw 6th Ct, Plantation, FL 33317-2150 | 2020-07-23 |
| 1518581529 | Jon Leigh Storey | Nurse Practitioner | 880 N Fig Tree Ln, Plantation, FL 33317-1348 | 2020-06-04 |
| 1568009231 | Beena K Bijoy | Nurse Practitioner | 10305 Nw 6th Street, Plantation, FL 33324 | 2019-12-02 |
| 1588206551 | Heather Anne Ruppel | Nurse Practitioner | 7535 Nw 2nd Ct, Plantation, FL 33317-2273 | 2019-10-11 |
| 1700443587 | Geanina Cabales Domingo | Nurse Practitioner | 9830 Nw 2nd Ct, Plantation, FL 33324-7088 | 2019-05-28 |
| 1467016550 | Stephanie Fajardo | Nurse Practitioner | 140 Sw 84th Ave Ste B, Plantation, FL 33324-2736 | 2019-04-24 |
| 1003479528 | Juliette Drexler | Nurse Practitioner | 700 Sw 78th Ave Apt 416, Plantation, FL 33324-3372 | 2019-04-19 |
| 1043775166 | Danielle Amanda Steele | Nurse Practitioner | 281 Nw 49th Ave, Plantation, FL 33317-2050 | 2019-02-02 |
| 1326502261 | Natalie Nadia Lachman | Nurse Practitioner | 1300 Sw 66th Ter, Plantation, FL 33317-5130 | 2019-01-24 |
| Find all providers in PLANTATION | ||||
| City | PLANTATION |
| Zip Code | 33317 |
Please comment or provide details below to improve the information on ALEXANDER MAZEKINA TAIRA.
| 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.