MARYAM ELLEN DAVARI (NPI# 1154700912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154700912 |
| Entity Type | Individual |
| Full Name | MARYAM ELLEN DAVARI |
| Credential | MD |
| Practice Address |
1400 E Oakland Park Blvd Ste 210 Oakland Park FL 33334-4400 |
| Practice Telephone | 9545616222 |
| Practice Fax Number | 9549907650 |
| Mailing Telephone | 9545616222 |
| Mailing Fax Number | 9549907650 |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME145853 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
ME145853 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7261 Sheridan St Ste 100b, Hollywood, FL 330242708 | 9545616222 | 9549907650 |
| Street Address |
1400 E OAKLAND PARK BLVD STE 210 |
| City | OAKLAND PARK |
| State | FL |
| Zip Code | 33334-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167224 | Sandra S Bauman | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2005-10-08 |
| 1942807367 | Osner Myrtel Etienne | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-10-08 |
| 1407462385 | Raphael Arturo Palacios | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-09-16 |
| 1952923245 | Marie Dorothy Hankins | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-05-11 |
| 1346876372 | Veronica Magloire | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-03-21 |
| 1871127688 | Sydney Kristina Barfield | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2020-03-02 |
| 1568007136 | Baharak Khabazghazvini | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2019-11-07 |
| 1396247359 | Omoniyi Fatai Mutiu | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2018-03-06 |
| 1477068476 | Whitney Janae Walker | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2017-12-12 |
| 1497200307 | Jacqueline Deborah Simon | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2016-08-20 |
| 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 | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091431 | Aloha Detox Center LLC | Psychiatry & Neurology | 4800 Linton Blvd # 6, Delray Beach, FL 33445-6584 | 2020-10-23 |
| 1598315251 | Webmed Network, LLC | Psychiatry & Neurology | 8787 Bryan Dairy Rd Ste 370, Largo, FL 33777-1251 | 2019-09-16 |
| 1699331132 | Hakuna Matata Psychiatry Services Pllc | Psychiatry & Neurology | 13123 E Emerald Coast Pkwy # 193, Inlet Beach, FL 32461-9604 | 2019-05-09 |
| 1629540273 | Aware Recovery Care of Florida LLC | Psychiatry & Neurology | 1625 S Congress Ave Ste 301, Delray Beach, FL 33445-6304 | 2018-12-20 |
| 1760981260 | Panama City Springs & Recovery Center, Inc | Psychiatry & Neurology | 1212 W 19th St, Panama City, FL 32405-4104 | 2018-02-09 |
| 1962910570 | Palm Beach Neuro and Wellness, LLC | Psychiatry & Neurology | 2623 S Seacrest Blvd Ste 114, Boynton Beach, FL 33435-7531 | 2018-01-17 |
| 1770090276 | Allure Wellness Group LLC | Psychiatry & Neurology | 7700 W Camino Real Ste 404, Boca Raton, FL 33433-5543 | 2018-01-05 |
| 1861902173 | Recreate Life Wellness Group LLC | Psychiatry & Neurology | 7570 S Federal Hwy Ste 7, Lantana, FL 33462-6060 | 2017-10-02 |
| 1740718519 | Drs Billing One | Psychiatry & Neurology | 560 Village Blvd Suite 325a, West Palm Beach, FL 33409-7562 | 2017-05-24 |
| 1205389749 | Physicians Recovery Center Inc | Psychiatry & Neurology | 4782 W Commercial Blvd, Tamarac, FL 33319-2878 | 2016-08-02 |
| Find all providers with the same taxonomy | ||||
| City | OAKLAND PARK |
| Zip Code | 33334 |
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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.