MICHELLE BRODASKY COVILI (NPI# 1083046502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083046502 |
| Entity Type | Individual |
| Full Name | MICHELLE BRODASKY COVILI |
| Other Name | MICHELLE PAULINE BRODASKY |
| Credential | D.O. |
| Practice Address |
2589 N State Road 7 Lauderdale Lakes FL 33313 |
| Mailing Address |
1395 Nw 167th St Miami Gardens FL 33169-5710 |
| Practice Telephone | 9547141264 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS12513 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012038800 | 05 | |
| FL | FLORIDA BLUE | 14UW2 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Nw 7th Avenue, Fort Lauderdale, FL 333119026 | 9547596794 | 9547596785 |
| Street Address |
2589 N STATE ROAD 7 |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932153533 | Kathleen Lawrence Jeannot | Family Medicine | 2589 N State Road 7, Lauderdale Lakes, FL 33313-2778 | 2006-05-19 |
| 1952784613 | Michael Georges | Family Medicine | 2589 N State Road 7, Lauderdale Lakes, FL 33313-2778 | 2015-06-30 |
| 1104220581 | Paule Thomas | Nurse Practitioner | 2589 N State Road 7, Chen Medical Lauderhill, Inc, Lauderdale Lakes, FL 33313-2778 | 2014-10-14 |
| 1992123426 | Charlton Easton Collie Jr. | Internal Medicine | 2589 N State Road 7, Lauderdale Lakes, FL 33313-2778 | 2014-04-02 |
| 1902231863 | Yana Gofman | Internal Medicine | 2589 N State Road 7, Lauderdale Lakes, FL 33313-2778 | 2013-09-11 |
| 1649521238 | Chen Medical Lauderhill Inc | Non-Pharmacy Dispensing Site | 2589 N State Road 7, Lauderdale Lakes, FL 33313-2778 | 2012-09-24 |
| 1639461163 | Adm Home Health Services, Inc. | Home Health | 2589 N State Road 7, Lauderdale Lakes, FL 33313-2778 | 2011-05-02 |
| 1457642241 | Angel Pediatric Health Care Facility Inc. | Skilled Nursing Facility | 2589 N State Road 7, Lauderdale Lakes, FL 33313-2778 | 2011-04-27 |
| 1578864740 | Sachil Shah | Internal Medicine | 2589 N State Road 7, Lauderdale Lakes, FL 33313-2778 | 2010-11-04 |
| 1437350923 | Margarita Kogan | Family Medicine | 2589 N State Road 7, Lauderdale Lakes, FL 33313-2778 | 2007-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629252523 | Florida Institute of Health Family Physicians | Family Medicine | 4410 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1819 | 2007-12-27 |
| 1013005420 | Family Practic Inc | Family Medicine | 4699 N State Road 7, Suite B-2, Lauderdale Lakes, FL 33319-5879 | 2006-10-11 |
| 1932153533 | Kathleen Lawrence Jeannot | Family Medicine | 2589 N State Road 7, Lauderdale Lakes, FL 33313-2778 | 2006-05-19 |
| 1316410392 | Mcci Group Holdings LLC | Family Medicine | 4850 W Oakland Park Blvd Ste 148, Lauderdale Lakes, FL 33313-7277 | 2019-01-02 |
| 1962992651 | Primary Care Physicians of Hollywood, Pl | Family Medicine | 3001 Nw 49th Ave Ste 100, Lauderdale Lakes, FL 33313-7257 | 2018-05-17 |
| 1952784613 | Michael Georges | Family Medicine | 2589 N State Road 7, Lauderdale Lakes, FL 33313-2778 | 2015-06-30 |
| 1619356714 | Guidewell Sanitas I, LLC | Family Medicine | 4900 W Oakland Park Blvd, Suite 105, Lauderdale Lakes, FL 33313-7500 | 2015-05-21 |
| 1174919872 | Vinay Bhamidipati | Family Medicine | 4900 W Oakland Park Blvd Ste 105, Lauderdale Lakes, FL 33313-1555 | 2015-04-09 |
| 1861625287 | Valuecare Medical, LLC | Family Medicine | 3001 N State Road 7, Lauderdale Lakes, FL 33313-1913 | 2009-09-02 |
| 1245495746 | Sunshine Medical and Chiropractic Care Inc,. | Family Medicine | 3500 N State Road 7, Suite 211, Lauderdale Lakes, FL 33319-5625 | 2008-07-23 |
| Find all providers in LAUDERDALE LAKES | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
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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.