MRS. DIANA METROCK (NPI# 1154465524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154465524 |
| Entity Type | Individual |
| Full Name | MRS. DIANA METROCK |
| Practice Address |
1674 Nw 143rd Way Pembroke Pines FL 33028-3009 |
| Practice Telephone | 9543973785 |
| Mailing Telephone | 9543973785 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2016-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers | ||
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 8118256 00 | 05 |
| Street Address |
1674 NW 143RD WAY |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295147478 | High Five Therapy, LLC | Occupational Therapist | 1674 Nw 143rd Way, Pembroke Pines, FL 33028-3009 | 2014-05-22 |
| 1366675084 | Jaison Metrock, Dba High Five Therapy, LLC | Developmental Therapist | 1674 Nw 143rd Way, Pembroke Pines, FL 33028-3009 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699818 | Nicole Wiedeke | Specialist | 9041 Nw 12th Court, Pembroke Pines, FL 33024 | 2016-10-10 |
| 1194100024 | Victor Totfalusi Do P.a | Specialist | 18459 Pines Blvd Ste 213, Pembroke Pines, FL 33029-1400 | 2015-07-21 |
| 1306252200 | Aran Eye Associates Pa | Specialist | 9101 Pembroke Rd, Pembroke Pines, FL 33025-1638 | 2014-07-11 |
| 1699004879 | Results Rehab Pa | Specialist | 974 Sw 159th Ln, Pembroke Pines, FL 33027-5034 | 2009-12-16 |
| 1720215106 | Total Medical LLC. | Specialist | 12177 Pembroke Road, Pembroke Pines, FL 33025 | 2009-06-12 |
| 1215161641 | Donna Michelle White | Specialist | 17828 Nw 16th St, Pembroke Pines, FL 33029-3701 | 2009-05-13 |
| 1003077421 | Farhan Abid | Specialist | 500 N Hiatus Rd Ste 107, Pembroke Pines, FL 33026-5213 | 2008-06-18 |
| 1316156409 | Robert P Picariello | Specialist | 13475 Sw 9th St, Apt A212, Pembroke Pines, FL 33027-1887 | 2007-05-22 |
| 1205043494 | Pediatric Pulmonary and Allergy Assoc. | Specialist | 1 Sw 129th Ave Ste 308, Pembroke Pines, FL 33027-1706 | 2007-05-17 |
| 1457573701 | Amazing Children Rehabilitation Inc. | Specialist | 2060 Nw 190 Ave, Pembroke Pines, FL 33029-3834 | 2007-05-03 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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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.