BRANDIE ANN ASTUDILLO-MOUNIER (NPI# 1114353976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114353976 |
| Entity Type | Individual |
| Full Name | BRANDIE ANN ASTUDILLO-MOUNIER |
| Credential | MD |
| Practice Address |
3401 Pga Blvd Ste 100 Palm Beach Gardens FL 33410-2824 |
| Mailing Address |
Po Box 69 Jupiter FL 33468-0069 |
| Practice Telephone | 5612191000 |
| Practice Fax Number | 5616946018 |
| Mailing Telephone | 5619320995 |
| Mailing Fax Number | 5619320997 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME117611 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEA | FA4187781 | 01 |
| MEDICAL LICENSE | ME67289 | 01 | |
| FL | 010753200 | 05 |
| Street Address |
3401 PGA BLVD STE 100 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33410-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501026 | Vicky Pauline Salazar | Registered Nurse | 11501 N Military Trail, Palm Beach Gardens, FL 33410 | 2020-09-04 |
| 1417596388 | Chavon E Mayer | Doula | 149 Winter Park Lane, West Palm Beach, FL 33410 | 2019-12-24 |
| 1639711617 | Diamond Physical Therapy, LLC | Physical Therapist | 4025 Johnson Dairy Road, Palm Beach Gardens, FL 33410 | 2019-10-11 |
| 1689151714 | Caroline Devries Hesterman | Occupational Therapist | 9840 Alternate A1a Ste 402, Palm Beach Gardens, FL 33410 | 2018-07-21 |
| 1366937088 | Krystal Maya Khemkaran | Behavior Technician | 2979 Pga Blvd # 200, Palm Beach Gardens, FL 33410 | 2018-06-25 |
| 1548762552 | Arsenia Pomperada Sabusap | Nurse Practitioner | Grace Medical Center of Florida, 4212 Northlake Blvd., Palm Beach Gardens, FL 33410 | 2018-03-06 |
| 1538668199 | Alan Seidenfeld | Dentist | 7305 N Military Trl 3a-200, Riviera Beach, FL 33410 | 2018-02-08 |
| 1407361454 | Nuvista Living At Jupiter, LLC | Skilled Nursing Facility | 338 Pioneer Road, Jupiter, FL 33410 | 2017-12-12 |
| 1083125728 | Tom Long Biddle-xing | Nurse Practitioner | 3345 Burns Rd Ste 206, Palm Beach Gardens, FL 33410 | 2017-10-20 |
| 1801315189 | Kasie Sidman | Physical Therapist | 3929 Bluebell St, Palm Beach Gardens, FL 33410 | 2017-09-18 |
| Find all providers in zip 33410 | ||||
| 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 |
|---|---|---|---|---|
| 1891311957 | Abrahan Szmukler | Family Medicine | 171 Satinwood Ln, Palm Beach Gardens, FL 33410-1605 | 2020-06-24 |
| 1902354798 | Neeraj Julka Md, LLC | Family Medicine | 116 Waterview Dr, Palm Beach Gardens, FL 33418-7103 | 2016-09-21 |
| 1801292479 | Neeraj Julka | Family Medicine | 3385 Burns Road #208, Palm Beach Physicain Group, Palm Beach Gardens, FL 33410-4328 | 2014-11-10 |
| 1235478082 | Allan Herbert Bruckheim | Family Medicine | 9 Alston Rd, Palm Beach Gardens, FL 33418-6822 | 2013-02-13 |
| 1215289442 | Lawrence Shefter | Family Medicine | 126 Talavera Pl, Palm Beach Gardens, FL 33418-6221 | 2012-10-11 |
| 1538461306 | Clinton James Schlenker | Family Medicine | 4520 Donald Ross Rd Ste 200, Palm Beach Gardens, FL 33418-5105 | 2010-11-29 |
| 1942520465 | William Joseph Bainbridge | Family Medicine | 820 Windermere Way, Palm Beach Gardens, FL 33418-7170 | 2010-06-07 |
| 1891965018 | Howard Abroms | Family Medicine | 142 Isle Dr, Palm Beach Gardens, FL 33418-4597 | 2008-03-04 |
| 1962601203 | Roxanna P Platt | Family Medicine | 8110 Bautista Way, Palm Beach Gardens, FL 33418-8178 | 2007-07-17 |
| 1497966055 | Craig G Black | Family Medicine | 1041 Bedford Avenue, Palm Beach Gardens, FL 33403-1123 | 2007-05-25 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33410 |
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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.