SOUTH FLORIDA PEDIATRIC HOSPITALISTS (NPI# 1235584160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235584160 |
| Entity Type | Organization |
| Organization Name | SOUTH FLORIDA PEDIATRIC HOSPITALISTS |
| Practice Address |
17105 Gulf Pine Cir Wellington FL 33414-6354 |
| Practice Telephone | 5614458203 |
| Practice Fax Number | 5618286236 |
| Mailing Telephone | 5614458203 |
| Mailing Fax Number | 5618286236 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | MRS. CHRISTEN ANN MARANTE (PRESIDENT) |
| Authorized Official Telephone | 5614458203 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
17105 GULF PINE CIR |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811143803 | Katherine Joanna Rakoczy | Pediatrics | 17105 Gulf Pine Cir, Wellington, FL 33414-6354 | 2008-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578853 | Erica Stoller | Pediatrics | 1117 E Hallandale Beach Blvd Ste 1, Hallandale Beach, FL 33009-4488 | 2019-09-24 |
| 1629323001 | Hamza Saeed Elkhidir | Pediatrics | 11252 Sw Kingslake Cir, Port St Lucie, FL 34987-2761 | 2012-07-20 |
| 1629331004 | Natalie Victoria Roebuck Bishop | Pediatrics | 1600 S Andrews Ave Fl Picu7, Fort Lauderdale, FL 33316-2510 | 2012-06-20 |
| 1598061574 | Jennifer Christine Munoz Pareja | Pediatrics | 1611 Nw 12th Ave Fl 6006, Miami, FL 33136-1005 | 2011-02-08 |
| 1720382054 | Ricardo A Queiro | Pediatrics | 1421 Sorolla Ave, Coral Gables, FL 33134-3519 | 2010-12-30 |
| 1245534593 | Carmen E Ocampo Benavides | Pediatrics | 1420 Brickell Bay Dr, Apt #907, Miami, FL 33131-3606 | 2010-12-30 |
| 1114044146 | Chad D Scheller | Pediatrics | 3501 Johnson St Dept Of, Hollywood, FL 33021 | 2007-03-23 |
| 1942370416 | Pediatric Hospital Services of Southwest Florida | Pediatrics | 157 Dockside Cir, Weston, FL 33327-1101 | 2006-11-09 |
| 1861577256 | Mark Swanson | Pediatrics | 92 West Miller Street, Orlando, FL 32806 | 2006-10-26 |
| 1841374295 | Enzo Javier Garcia | Pediatrics | 11760 Sw 40th St Ste 722, Miami, FL 33175-8101 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on SOUTH FLORIDA PEDIATRIC HOSPITALISTS.
| 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.