MR. SERGE JEAN-LOUIS JR. (NPI# 1073830303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073830303 |
| Entity Type | Individual |
| Full Name | MR. SERGE JEAN-LOUIS JR. |
| Practice Address |
1830 Nw 122nd Ter Pembroke Pines FL 33026-1966 |
| Mailing Address |
8253 Sw 29th St Miramar FL 33025-7407 |
| Practice Telephone | 9544355300 |
| Mailing Telephone | 2485144862 |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PTA 22099 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811021140 | Serge Jean-louis | Family Medicine | 300 W Mcnichols Rd, Detroit, MI 48203-2703 | 2007-03-16 |
| Street Address |
1830 NW 122ND TER |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376644583 | Heather S. Mesa | Speech-Language Pathologist | 1830 Nw 122nd Ter, Pembroke Pines, FL 33026-1966 | 2006-09-26 |
| 1194042507 | Elisabeth Anne-marie Coriolan | Physical Therapy Assistant | 1830 Nw 122nd Ter, Pembroke Pines, FL 33026-1966 | 2010-04-24 |
| 1164606521 | Jami Lynn Winnick | Speech-Language Pathologist | 1830 Nw 122nd Ter, Pembroke Pines, FL 33026-1966 | 2007-12-20 |
| 1932381381 | Francis Alfred | Physical Therapy Assistant | 1830 Nw 122nd Ter, Pembroke Pines, FL 33026-1966 | 2007-11-28 |
| 1265645675 | Devonne Ismene Loiseau | Speech-Language Pathologist | 1830 Nw 122nd Ter, Pembroke Pines, FL 33026-1966 | 2007-05-08 |
| 1720112469 | Patricia A. Lacey | Physical Therapy Assistant | 1830 Nw 122nd Ter, Pembroke Pines, FL 33026-1966 | 2007-03-15 |
| 1861526634 | Richard Scott Shannon | Physical Therapy Assistant | 1830 Nw 122nd Ter, Pembroke Pines, FL 33026-1966 | 2007-03-15 |
| 1487788238 | Jamie Lynn Mlujeak | Physical Therapy Assistant | 1830 Nw 122nd Ter, Pembroke Pines, FL 33026-1966 | 2007-03-15 |
| 1154455665 | Colette Ann Ramcharitar | Physical Therapy Assistant | 1830 Nw 122nd Ter, Pembroke Pines, FL 33026-1966 | 2007-03-15 |
| 1467596890 | Kimberly Nichols Hinojosa | Speech-Language Pathologist | 1830 Nw 122nd Ter, Pembroke Pines, FL 33026-1966 | 2007-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992244271 | Roa Rehabilitation Health Services Inc. | Clinic/Center | 16381 Nw 13th St, Pembroke Pines, FL 33028-1309 | 2017-02-20 |
| 1649728833 | Yolanda Suarez | Clinic/Center | 1041 Nw 192nd Ave, Pembroke Pines, FL 33029-2922 | 2016-09-15 |
| 1043476203 | Barcella Rehab Corp | Clinic/Center | 9806 Pines Blvd, Pembroke Pines, FL 33024-6141 | 2008-08-06 |
| 1508999772 | Pines Total Rehabilitation Health Center Corp | Clinic/Center | 2241 N University Dr, Ste B, Pembroke Pines, FL 33024-3611 | 2007-03-14 |
| 1184223828 | J.r.therapy Inc | Clinic/Center | 17987 Sw 8th St, Pembroke Pines, FL 33029-4403 | 2020-10-23 |
| 1275162794 | Lisa Anne Kutrip | Clinic/Center | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1014 | 2020-04-06 |
| 1538727516 | 360 Rehab Services Inc. | Clinic/Center | 12251 Taft St, Pembroke Pines, FL 33026-1901 | 2019-06-04 |
| 1568914778 | Rehabclinics Pta, Inc. | Clinic/Center | 17796 Sw 2nd St, Pembroke Pines, FL 33029-3923 | 2016-11-04 |
| 1922497577 | Karen Carmona | Clinic/Center | 10794 Pines Blvd, Pembroke Pines, FL 33026-3920 | 2015-01-20 |
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|---|---|---|---|---|
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| 1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
| 1255930855 | Tideline Sports Performance & Rehabilitation LLC | Clinic/Center | 5261 Paylor Ln, Lakewood Ranch, FL 34240-2203 | 2020-10-23 |
| 1578162780 | Fourth Trimester Wellness LLC | Clinic/Center | 711 Chancellar Dr, Lutz, FL 33548-4512 | 2020-10-19 |
| 1306445754 | Concierge Rehab Inc | Clinic/Center | 1045 E Heritage Club Cir, Delray Beach, FL 33483-3483 | 2020-10-17 |
| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
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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.