SOUTHEAST PERINATAL ASSOCIATES, INC (NPI# 1154529386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154529386 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST PERINATAL ASSOCIATES, INC |
| Other Organization Name | PERINATAL CENTER OF FLORIDA |
| Practice Address |
1951 Sw 172nd Ave Ste 309 Miramar FL 33029-5593 |
| Mailing Address |
Po Box 744069 Dept 50028 Atlanta GA 30384-4069 |
| Practice Telephone | 9544943528 |
| Practice Fax Number | 9542426000 |
| Mailing Telephone | 9548382371 |
| Mailing Fax Number | 9544472708 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
ME0071439 | FL | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Perinatal Center of Florida | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780086827 | Southeast Perinatal Associates, Inc | Obstetrics & Gynecology | 1150 N 35th Ave, Ste 550-a, Hollywood, FL 33021 | 2014-09-19 |
| Street Address |
1951 SW 172ND AVE STE 309 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33029-5593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660757 | Jay Stuart Gottlieb | Dermatology | 1951 Sw 172nd Ave, Ste 416, Miramar, FL 33029-5615 | 2005-06-22 |
| 1548752488 | Leslie Allison Lewis | Registered Nurse | 1951 Sw 172nd Ave, Miramar, FL 33029 | 2018-06-06 |
| 1841741790 | Jeanette Hernandez | Midwife | 1951 Sw 172nd Ave, Miramar, FL 33029-5593 | 2016-10-16 |
| 1912450289 | Gousse Urology, LLC | Urology | 1951 Sw 172nd Ave, Suite 305, Miramar, FL 33029-5593 | 2016-08-03 |
| 1700251709 | Alice Batraville | Nurse Practitioner | 1951 Sw 172nd Ave, Ste 309, Miramar, FL 33029 | 2015-12-02 |
| 1639559750 | Vivian Bilasano Md LLC | Clinic/Center | 1951 Sw 172nd Ave, Suite312, Miramar, FL 33029-5593 | 2015-06-03 |
| 1922487636 | Blue Water Pain Solutions, Pa | Anesthesiology | 1951 Sw 172nd Ave, Suite 212, Miramar, FL 33029-5593 | 2015-05-27 |
| 1255710604 | New Day Ob Gyn LLC | Clinic/Center | 1951 Sw 172nd Ave, Suite 315, Miramar, FL 33029-5593 | 2015-05-19 |
| 1407253594 | Comprehensive Womens Center Corp | Obstetrics & Gynecology | 1951 Sw 172nd Ave, Suite 301, Miramar, FL 33029-5593 | 2014-12-04 |
| 1316352545 | Blue Water Pain Solutions, Pa | Anesthesiology | 1951 Sw 172nd Ave, Suite 314, Miramar, FL 33029-5593 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 |
|---|---|---|---|---|
| 1619177250 | Jeanine F Carbone-lazarus | Obstetrics & Gynecology | 1951 Sw 172nd Ave, Ste 309, Miramar, FL 33029-5593 | 2007-07-23 |
| 1528090438 | Sharon M. Salamat | Obstetrics & Gynecology | 1951 Sw 172nd Ave, Ste 309, Miramar, FL 33029-5593 | 2006-07-07 |
| 1679532337 | Laurie Scott | Obstetrics & Gynecology | 1951 Sw 172nd Ave, Ste 309, Miramar, FL 33029-5593 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568877538 | Sunshine Perinatology Specialists, M.d., P.a. | Obstetrics & Gynecology | 2310 North Blvd W, Davenport, FL 33837 | 2014-06-27 |
| 1780983114 | Maternal Fetal Medicine of Southwest Florida | Obstetrics & Gynecology | 210 Del Prado Blvd, Suite 1, Cape Coral, FL 33990-1763 | 2011-03-24 |
| 1427357854 | Maternal Fetal Medine of Sw Flordia | Obstetrics & Gynecology | 26800 S. Tamiami Tr, Suite 230, Bonita Springs, FL 34134-4390 | 2011-03-24 |
| 1336305614 | Christensen Maternal & Fetal Medicine | Obstetrics & Gynecology | 2100 Aloma Ave, Suite 100, Winter Park, FL 32792-3301 | 2008-08-06 |
| 1871782748 | Jose R Duncan Arosemena | Obstetrics & Gynecology | 2 Tampa General Cir Fl Circle6, Tampa, FL 33606-3603 | 2007-10-17 |
| 1336350446 | Amy Alicia Flick | Obstetrics & Gynecology | 15735 Pines Blvd, Pembroke Pines, FL 33027-1207 | 2007-05-24 |
| 1639214190 | Fausto Innamorati | Obstetrics & Gynecology | 780 Sw 28th Street, Fort Lauderdale, FL 33315-2643 | 2007-02-21 |
| 1831299767 | Ruel Tyrone Stoessel | Obstetrics & Gynecology | 8645 N Military Trail, Suite 508, Palm Beach Gardens, FL 33410-6296 | 2006-09-22 |
| 1891709630 | Jerry N Gilles | Obstetrics & Gynecology | 300 Se 17th Street, Suite 300, Fort Lauderdale, FL 33316 | 2006-07-28 |
| 1003837527 | Daniel George Kiefer | Obstetrics & Gynecology | 3438 Lawton Rd Ste 2a, Orlando, FL 32803 | 2006-07-21 |
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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.