DEBRA B BALLIRAM MANOHALAL (NPI# 1053590489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053590489 |
| Entity Type | Individual |
| Full Name | DEBRA B BALLIRAM MANOHALAL |
| Credential | D.O. |
| Practice Address |
1447 Medical Park Blvd Suite 300 Wellington FL 33414-3164 |
| Mailing Address |
770 Northpoint Parkway Suite 102 West Palm Beach FL 33407 |
| Practice Telephone | 5617905990 |
| Practice Fax Number | 5617905952 |
| Mailing Telephone | 5612757604 |
| Mailing Fax Number | 5618025385 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | OS10052 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 280386100 | 05 |
| Street Address |
1447 MEDICAL PARK BLVD SUITE 300 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017803 | Melissa E Carlson | Obstetrics & Gynecology | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2005-07-14 |
| 1942653274 | Amanda Kane | Nurse Practitioner | 1447 Medical Park Blvd, Suite 406, Wellington, FL 33414-3164 | 2016-07-21 |
| 1215319645 | Medical Park Surgery Center LLC | Clinic/Center | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2015-06-22 |
| 1548657216 | Florida Surgical Associates LLC | Specialist | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2015-04-21 |
| 1811309867 | Allergy and Asthma Specialists of South Florida LLC | Allergy & Immunology | 1447 Medical Park Blvd, Suite 406, Wellington, FL 33414-3164 | 2014-05-27 |
| 1447694948 | Majesty Medical Associates LLC | Internal Medicine | 1447 Medical Park Blvd, Suite 405, Wellington, FL 33414-3164 | 2013-04-26 |
| 1699018838 | Stacha-keimone Kayana Newell | Nurse Practitioner | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2013-04-05 |
| 1639443534 | Jeroen Balledux Md LLC | Plastic Surgery | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2012-02-24 |
| 1629356357 | Danni Driscoll Md Pa | Anesthesiology | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2011-07-29 |
| 1437453180 | Fakhoury, Md, LLC | Neurological Surgery | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2011-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426883 | William Lockridge | Obstetrics & Gynecology | 13486 Exotica Ln, Wellington, FL 33414-8507 | 2015-05-15 |
| 1154505725 | Sara J Bernstein | Obstetrics & Gynecology | 10131 Forest Hill Blvd Ste 130, Wellington, FL 33414-6155 | 2007-12-19 |
| 1023017803 | Melissa E Carlson | Obstetrics & Gynecology | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2005-07-14 |
| 1558750281 | Institute for Women's Health and Body, LLC | Obstetrics & Gynecology | 1395 S State Road 7, Suite 450, Wellington, FL 33414-9325 | 2015-01-19 |
| 1164861977 | Denise Azucena Vilchez Cardenal | Obstetrics & Gynecology | 1447 Medical Park Blvd Ste 300, Wellington, FL 33414-3183 | 2013-06-14 |
| 1568722528 | Jessica Ann Clark | Obstetrics & Gynecology | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3105 | 2012-05-24 |
| 1861771008 | Yocoima S Plaza | Obstetrics & Gynecology | 1395 S State Road 7, #450, Wellington, FL 33414-9325 | 2011-08-05 |
| 1073810289 | Florida Woman Care, LLC | Obstetrics & Gynecology | 1397 Medical Park Blvd, Suite 360, Wellington, FL 33414-3188 | 2011-02-24 |
| 1922275239 | Emilio B Torres Professional Association | Obstetrics & Gynecology | 1397 Medical Park Blvd, Suite 200, Wellington, FL 33414-3186 | 2008-05-15 |
| 1215115852 | Stacea N Bowen | Obstetrics & Gynecology | 1395 S State Road 7, Suite 450, Wellington, FL 33414-9325 | 2008-02-06 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on DEBRA B BALLIRAM MANOHALAL.
| 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.