MR. JORDAN J AUGUSTIN (NPI# 1104336387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104336387 |
Entity Type | Individual |
Full Name | MR. JORDAN J AUGUSTIN |
Credential | ARNP |
Practice Address |
4200 Sw 54th Ct Fort Lauderdale FL 33314-6726 |
Mailing Address |
17385 Nw 7th Ave Apt 101 Miami Gardens FL 33169-7090 |
Practice Telephone | 7543125500 |
Mailing Telephone | 9544613172 |
Enumeration Date | 2017-10-02 |
Last Update Date | 2017-10-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9351187 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4200 SW 54TH CT |
City | FORT LAUDERDALE |
State | FL |
Zip Code | 33314-6726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861690851 | Craig Alan Handwerker | Counselor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314 | 2007-07-11 |
1538675004 | Crossroads Wellness Group, LLC | Chiropractor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314-6726 | 2017-12-20 |
1255846903 | Ricardo A Gomez | Nurse Practitioner | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314-6726 | 2017-12-04 |
1962939496 | Sherna Constant | Nurse Practitioner | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314-6726 | 2017-05-15 |
1306149992 | Candy C Lucas | Chiropractor | 4200 Sw 54th Ct, Fort Lauderdale, FL 33314 | 2010-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386119949 | Tiffany Allen | Case Manager/Care Coordinator | 6602 Sw 41st Street, Davie, FL 33314 | 2018-10-10 |
1053804047 | Shannon Stowe | Specialist/Technologist | 3160 Palm Trace Landings Dr Apt 731, Davie, FL 33314 | 2018-06-13 |
1700374238 | Christian D Cameron | Developmental Therapist | 5900 Sw 24th Pl Unit 203, Davie, FL 33314 | 2018-04-30 |
1902308836 | Infusion Nurse Experts LLC | Home Health | 4802 Sw 51st Street, Davie, FL 33314 | 2018-03-07 |
1134658495 | Luz Arevalo | Behavioral Analyst | 6630 Sw 41 Pl, Davie, FL 33314 | 2017-06-08 |
1194253815 | Migdalis Padron | Behavior Technician | 4491 Sw 52nd Ct Apt 8, Fort Lauderdale, FL 33314 | 2017-05-25 |
1710240833 | Victor Pabon | Adult Companion | 4828 Sw 47 Lane, Davie, FL 33314 | 2012-06-22 |
1437433802 | Laura Maritsa Canciani | Counselor | 6005 Stirling Road #124, Davie, FL 33314 | 2011-10-04 |
1770729840 | Therapeeds, Inc. | Occupational Therapist | 5951 Orange Drive, Davie, FL 33314 | 2008-12-19 |
1346447935 | Laura R Johnson-doan | Massage Therapist | 1920 E Hallandale Blvd, #901, Hallandale, FL 33314 | 2007-06-28 |
Find all providers in zip 33314 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326587346 | First-mobile Medical Care, Inc | Nurse Practitioner | 2750 W Oakland Park Blvd Ste 10h, Fort Lauderdale, FL 33311-1310 | 2017-02-23 |
1790385946 | Timur Kadirov | Nurse Practitioner | 1328 Se 17th St, Fort Lauderdale, FL 33316-1708 | 2020-10-27 |
1255826962 | Seigfred Cualing | Nurse Practitioner | 1625 Se 3rd Ave Ste 601, Fort Lauderdale, FL 33316-2521 | 2018-06-25 |
1194118497 | Karen Webb | Nurse Practitioner | 1801 Se 1st Ave, Fort Lauderdale, FL 33316-2801 | 2015-03-10 |
1376678748 | Mary Frances Dedmon | Nurse Practitioner | 780 Sw 24th St, Medical Administration, Fort Lauderdale, FL 33315-2643 | 2007-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
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1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
Find all providers with the same taxonomy |
City | FORT LAUDERDALE |
Zip Code | 33314 |
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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.