LATOYIA DASHAWN FULLER (NPI# 1245739119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245739119 |
| Entity Type | Individual |
| Full Name | LATOYIA DASHAWN FULLER |
| Other Name | LATOYIA BALL |
| Credential | PA-C |
| Practice Address |
1770 Eagle Trace Blvd Coral Springs FL 33071-7817 |
| Practice Telephone | 3172231056 |
| Mailing Telephone | 3172231056 |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9111028 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1770 EAGLE TRACE BLVD |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33071-7817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033791 | Wendy Beth Heidkamp | Pharmacist | 8231 Nw 6th Court, Coralsprings, FL 33071 | 2020-08-17 |
| 1265041420 | Shashera Pringle | Nurse Practitioner | 10948 Nw 3rd Street, Coral Springs, FL 33071 | 2020-07-23 |
| 1568084580 | Redsky Solutions, Inc. | Non-emergency Medical Transport (VAN) | 695 Nw 100th Ln, Coral Springs, FL 33071 | 2020-05-13 |
| 1578112991 | Dr G's Pharmacy, Inc | Pharmacy | 2224 N. University Drive, Coral Springs, FL 33071 | 2019-09-09 |
| 1366935447 | Nonye Gali | Occupational Therapy Assistant | 9017 Nw 19th St, Coral Springs, FL 33071 | 2018-06-12 |
| 1255855151 | Elisabet Stumper | Speech-Language Pathologist | 1313 Nw 100th Drive, Coral Springs, FL 33071 | 2017-08-01 |
| 1578093175 | Make It Happen Nursing, LLC | Nursing Care | 8835 Nw 3rd Court, Coral Springs, FL 33071 | 2017-06-15 |
| 1023547304 | Steven Quanhien Thach | Physical Therapist | 2043 N University Dr., Coral Springs, FL 33071 | 2017-06-08 |
| 1083063945 | Health Care Clinic At Walgreens | Clinic/Center | 1724 Nw 126th Dr, Coral Springs, FL 33071 | 2016-06-10 |
| 1902285703 | J&j Comprehensive Medical Care LLC | Internal Medicine | 1505 N. University Drive, Suite 400, Coral Springs, FL 33071 | 2015-05-26 |
| Find all providers in zip 33071 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730177 | Emily Figueroa Vega | Physician Assistant | 1920 Nw 97th Ave, Coral Springs, FL 33071-5950 | 2020-11-06 |
| 1578108999 | Kevin Michael Sprague | Physician Assistant | 5535 Pine Cir, Coral Springs, FL 33067-2930 | 2019-11-08 |
| 1497390819 | Alexa Walsh | Physician Assistant | 10022 Nw 20th St, Coral Springs, FL 33071-5845 | 2019-11-08 |
| 1386289700 | Ian Kramer | Physician Assistant | 4013 Nw 72nd Ave, Coral Springs, FL 33065-2132 | 2019-11-08 |
| 1871135541 | Megan Rodwell | Physician Assistant | 3001 Coral Hills Dr Ste 320, Coral Springs, FL 33065-4172 | 2019-10-14 |
| 1942768932 | Ashley Maccarello | Physician Assistant | 10308 W Sample Rd Ste A, Coral Springs, FL 33065-3942 | 2019-03-08 |
| 1568937738 | Jessica Suarez | Physician Assistant | 3415 Nw 112th Way, Coral Springs, FL 33065-7095 | 2018-10-03 |
| 1245699479 | Patrick Dargan | Physician Assistant | 6179 Nw 40th St, Coral Springs, FL 33067-3224 | 2016-02-16 |
| 1548651839 | Lauren Walk | Physician Assistant | 2863 Nw 123rd Ave, Coral Springs, FL 33065-3253 | 2015-02-09 |
| 1518211846 | Samantha E Beams | Physician Assistant | 5511 N University Dr Ste 101b, Coral Springs, FL 33067 | 2012-11-08 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33071 |
Please comment or provide details below to improve the information on LATOYIA DASHAWN FULLER.
| 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.