DR. PATRICIA PAULE JEUDIN (NPI# 1114219847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114219847 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA PAULE JEUDIN |
| Other Name | DR. PATRICIA JEUDIN |
| Credential | M.D. |
| Practice Address |
1475 Nw 12th Ave Miami FL 33136-1002 |
| Practice Telephone | 3052432233 |
| Mailing Telephone | 3052432233 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2015-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME124602 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MA | Student, Health Care |
| Street Address |
1475 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678862 | Steven L. Cohn | Internal Medicine | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2005-09-06 |
| 1215551064 | Diana Reyes | Pharmacist | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-06-07 |
| 1689297392 | Hisham Kamal Sayed Abdalghaffar | Student in an Organized Health Care Education/Training Program | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-05-28 |
| 1649890153 | Rosa M Salgado | Registered Nurse | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-04-24 |
| 1710515986 | Anthony Davis Anderson | Pharmacist | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-04-01 |
| 1851930200 | Hector Garcia | Nurse Practitioner | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2020-01-02 |
| 1962048702 | Patrick Winston Nugent Jr. | Nurse Practitioner | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2019-11-26 |
| 1700420312 | Glorimari Nieves | Registered Nurse | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2019-11-06 |
| 1033751409 | Christian Huergo | Nurse Practitioner | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2019-10-17 |
| 1013559319 | Lourdes Mestre Valdes | Nurse Practitioner | 1475 Nw 12th Ave, Miami, FL 33136-1002 | 2019-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
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| 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 |
|---|---|---|---|---|
| 1689282162 | Healing Hands Healthcare Services, LLC | Obstetrics & Gynecology | 1900 N Bayshore Dr Apt 2411, Miami, FL 33132-3012 | 2020-07-21 |
| 1376182329 | Moment Health Care Inc | Obstetrics & Gynecology | 6464 N Miami Ave, Miami, FL 33150-4520 | 2019-12-21 |
| 1801341383 | Franklin Benedict Colon Torres | Obstetrics & Gynecology | 125 Ne 32nd St Apt 1202, Miami, FL 33137-4325 | 2016-08-24 |
| 1265881171 | Jaime Dickerson | Obstetrics & Gynecology | 1150 Nw 14th St Fl 5, Miami, FL 33136-2137 | 2016-06-10 |
| 1457713158 | Antonia Zecevic | Obstetrics & Gynecology | 1120 Nw 14th St Ste 1159, Miami, FL 33136-2107 | 2016-03-22 |
| 1659767846 | Alison Simone Coll | Obstetrics & Gynecology | 8950 Sw 74th Ct Ste 2001, Miami, FL 33156-3179 | 2015-04-14 |
| 1336534304 | Jessica Alvarez | Obstetrics & Gynecology | 8940 N Kendall Dr Ste 804e, Miami, FL 33176 | 2015-04-06 |
| 1104210038 | Shlomo Tendler | Obstetrics & Gynecology | 4308 Alton Rd Ste 790, Miami, FL 33140-4558 | 2015-03-28 |
| 1497149777 | Lydia Ann Fein | Obstetrics & Gynecology | 1321 Nw 14th St Ste 201, Miami, FL 33125-1653 | 2015-03-24 |
| 1972994143 | Manuel S. Mendizabal, Md, LLC | Obstetrics & Gynecology | 7090 Sw 54th St, Miami, FL 33155-5644 | 2015-02-10 |
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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.