CORAL RIDGE OUTPATIENT CENTER LLC (NPI# 1114126596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114126596 |
| Entity Type | Organization |
| Organization Name | CORAL RIDGE OUTPATIENT CENTER LLC |
| Other Organization Name | CORAL RIDGE OUTPATIENT CENTER |
| Practice Address |
5301 N Dixie Hwy Suite 100 Oakland Park FL 33334-3403 |
| Mailing Address |
5301 N Dixie Hwy Oakland Park FL 33334 |
| Practice Telephone | 9548323300 |
| Practice Fax Number | 9548323301 |
| Mailing Telephone | 9548323300 |
| Mailing Fax Number | 9548323301 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1310 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Coral Ridge Outpatient Center | Other Name - Individual/Organization |
| Street Address |
5301 N DIXIE HWY SUITE 100 |
| City | OAKLAND PARK |
| State | FL |
| Zip Code | 33334-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780656371 | John Desmond Bloom Jr. | Specialist | 5301 N Dixie Hwy, Ste 202, Oakland Park, FL 33334-3403 | 2006-02-07 |
| 1497209498 | David H Gilbert Md and Associates Pa | Orthopaedic Surgery | 5301 N Dixie Hwy, Suite 203, Oakland Park, FL 33334-3447 | 2016-08-08 |
| 1346612959 | Jessica Lauren | Physician Assistant | 5301 N Dixie Hwy, Oakland Park, FL 33334-3447 | 2015-10-22 |
| 1356771554 | Dana Wiesenfeld | Physician Assistant | 5301 N Dixie Hwy, Suite 201, Oakland Park, FL 33334-3447 | 2013-11-25 |
| 1821305467 | Genesiscare Usa of Florida LLC | Urology | 5301 N Dixie Hwy, Suite 201, Oakland Park, FL 33334-3447 | 2010-09-02 |
| 1588990634 | Sophia A March | Nurse Practitioner | 5301 N Dixie Hwy, Suite 201, Oakland Park, FL 33334-3447 | 2009-10-26 |
| 1831388164 | Alan R Schneider Lauderdale Urology | Urology | 5301 N Dixie Hwy, Suite 201, Oakland Park, FL 33334-4148 | 2007-10-23 |
| 1134325921 | Gastroenterology Assoc Pa | Specialist | 5301 N Dixie Hwy, Ste 202, Oakland Park, FL 33334-3403 | 2007-06-27 |
| 1043309776 | John R Watson | Internal Medicine | 5301 N Dixie Hwy, Suite 202, Oakland Park, FL 33334-3403 | 2006-10-12 |
| 1669568069 | Alan R Schneider | Urology | 5301 N Dixie Hwy, Suite 107, Oakland Park, FL 33334-3447 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245755644 | Fusion Health & Wellness LLC | Counselor | 1164 E Oakland Park Blvd Ste 102, Oakland Park, FL 33334 | 2017-08-07 |
| 1376064063 | The Senior Spot | Custodial Care Facility | 410 E Oakland Park Blvd., Wilton Manors, FL 33334 | 2017-07-03 |
| 1952831810 | Andrew Morgan | Counselor | 450 Ne 44th Street, Oakland Park, FL 33334 | 2017-06-14 |
| 1033561907 | Trevor Howe Hart | Dentist | 3425 N Dixie Hwy, Oakland Park, FL 33334 | 2016-07-05 |
| 1548646698 | Shelly Vilsaint | Massage Therapist | 120 E. Oakland Park Blvd, Suite 208, Fort Lauderdale, FL 33334 | 2015-07-30 |
| 1295129641 | Kristin Joann Biggie | Pediatrics | 5333 N Dixie Highway, Suite 106, Fort Lauderdale, FL 33334 | 2015-03-24 |
| 1235529116 | Rodolfo Herrera Barter | General Practice | 735 E Oakland Park Blvd, Oakland Park, FL 33334 | 2015-01-29 |
| 1639573629 | Garrick Edwards | Health Educator | 1501 Ne 62nd Street, Ft. Lauderdale, FL 33334 | 2014-10-20 |
| 1568877967 | Michael James Breen Jr. | Occupational Therapist | 1000 Corporate Dr #280, Centra Healthcare, Fort Lauderdale, FL 33334 | 2014-06-24 |
| 1144649161 | Passage Health International | Case Management | 701 E Commercial Blvd Fl 4, Oakland Park, FL 33334 | 2014-04-08 |
| Find all providers in zip 33334 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063775542 | Chance T. Kaplan, Pa | Clinic/Center | 1754 E Commercial Blvd, Oakland Park, FL 33334-5721 | 2012-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
| 1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
| City | OAKLAND PARK |
| Zip Code | 33334 |
Please comment or provide details below to improve the information on CORAL RIDGE OUTPATIENT CENTER LLC.
| 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.