BONNIE SMERYAGE (NPI# 1174930861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174930861 |
| Entity Type | Individual |
| Full Name | BONNIE SMERYAGE |
| Credential | ARNP |
| Practice Address |
1131 N 35th Ave Ste 210 Hollywood FL 33021-5403 |
| Mailing Address |
2900 Corporate Way Mpg Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542659344 |
| Practice Fax Number | 9542659343 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP 9221339 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012483900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Glades Rd Ste 501, Boca Raton, FL 334316421 | 9542659344 | 9542659343 |
| Street Address |
1131 N 35TH AVE STE 210 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437197373 | Reem Hussni Raafat | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021 | 2006-06-03 |
| 1235472572 | Karezhe Tigineh Mersha | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021 | 2013-04-05 |
| 1467468496 | South Broward Hospital District | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021-5403 | 2006-07-31 |
| 1598785479 | Alex Constantinescu | Pediatrics | 1131 N 35th Ave Ste 210, Hollywood, FL 33021-5403 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953242 | Summer Lynn Divincenzo | Nurse Practitioner | 4430 Sheridan St Ste B, Hollywood, FL 33021-3546 | 2017-10-18 |
| 1902914153 | Karen Fleuridor | Nurse Practitioner | 4651 Sheridan St Ste 150, Hollywood, FL 33021-3443 | 2006-08-28 |
| 1861509218 | Ellen Carol Axinn | Nurse Practitioner | 1005 Joe Dimaggio Drive, 4 Central, Hollywood, FL 33021 | 2006-08-23 |
| 1851916282 | Porsha St Pierre | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-06-11 |
| 1023505658 | Crystal Ann Onori | Nurse Practitioner | 1150 N 35th Ave Ste 555, Hollywood, FL 33021-5431 | 2018-04-19 |
| 1124536776 | Amanda R Grieco | Nurse Practitioner | 1131 N 35th Ave Fl 2, Hollywood, FL 33021-5403 | 2018-01-17 |
| 1700393386 | Elizabeth Ann Cross | Nurse Practitioner | 4500 Sheridan St, Hollywood, FL 33021-3516 | 2018-01-04 |
| 1891200085 | Lizette Caballero | Nurse Practitioner | 1131 N 35th Ave Ste 200, Hollywood, FL 33021 | 2017-12-10 |
| 1629583364 | Megan Rivers Rodriguez | Nurse Practitioner | 1150 N 35th Ave Ste 490, Hollywood, FL 33021-5423 | 2017-12-04 |
| 1407361199 | Martine Ramjohn | Nurse Practitioner | 4651 Sheridan St Ste 150, Hollywood, FL 33021 | 2017-12-04 |
| Find all providers in HOLLYWOOD | ||||
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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.