EVELYN COLEY (NPI# 1255735510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255735510 |
| Entity Type | Individual |
| Full Name | EVELYN COLEY |
| Credential | PA-C |
| Practice Address |
3540 N Pine Island Rd Sunrise FL 33351-6637 |
| Practice Telephone | (954) 653-3722 |
| Practice Fax Number | 9546533728 |
| Mailing Telephone | (954) 653-3722 |
| Mailing Fax Number | 9546533728 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 9108221 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3540 N PINE ISLAND RD |
| City | SUNRISE |
| State | FL |
| Zip Code | 33351-6637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669467924 | Guillermo A Pasarin | Neurological Surgery | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2005-09-13 |
| 1063976975 | Natasha Lucinda Douglas | General Acute Care Hospital | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2019-01-24 |
| 1902358211 | Helen Kindelan | Physician Assistant | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2016-11-03 |
| 1790098788 | Jessica Fay Okun | Neurological Surgery | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2010-07-19 |
| 1326276593 | Bja Inc | Clinic/Center | 3540 N Pine Island Rd, Suite 101, Sunrise, FL 33351-6637 | 2009-06-26 |
| 1598916868 | Heidys Martinez | Physical Therapist | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2008-10-06 |
| 1548211204 | Mayur Maniar | Psychiatry & Neurology | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2006-05-15 |
| 1184698953 | Gerald S Goldberg | Psychiatry & Neurology | 3540 N Pine Island Rd, Sunrise, FL 33351-6637 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595945 | Nicole Walters | Nurse Practitioner | 4900 Nw 92nd Ave, Sunrise, FL 33351 | 2020-10-12 |
| 1811539141 | Springbirds Caregivers, Inc | Home Health | 8469 W Aokland Park Blvd, Sunrise, FL 33351 | 2019-10-08 |
| 1841842457 | Pacifica Sl Sunrise LLC | Assisted Living Facility | 4201 Springtree Drive, Sunrise, FL 33351 | 2019-07-13 |
| 1376019216 | Carla Sue Castiglione | Dietitian, Registered | 4800 Nob Hill Road, Sunrise, FL 33351 | 2018-10-18 |
| 1114493202 | Sunrise Family Smiles, Pa | Clinic/Center | 9440 West Commercial Blvd, Suite 105, Sunrise, FL 33351 | 2018-10-16 |
| 1134619505 | Brush Lauderhill, Pllc | Dentist | 7752 W. Commercial Blvd, Lauderhill, FL 33351 | 2018-05-11 |
| 1336658749 | Manuel Alexis Guilarte | Technician, Other | 10307 Nw 33rd Pl, Sunrise, FL 33351 | 2017-09-28 |
| 1801319009 | Latavia Cheri London | Technician, Other | 9429 Nw 42nd Street, 9429 Nw 42nd Street, Sunrise, FL 33351 | 2017-07-19 |
| 1225567662 | Maite Blanco | Counselor | 10994 Nw 40 Street, Sunrise, FL 33351 | 2017-06-08 |
| 1902335599 | Ella-shanie Benyakar | Speech-Language Pathologist | 9477 Nw 39th Pl, Sunrise, FL 33351 | 2017-06-07 |
| Find all providers in zip 33351 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336647783 | Diana Carolina Correa Munoz | Physician Assistant | 7490 Nw 23rd St, Sunrise, FL 33313-2812 | 2018-01-30 |
| 1760873327 | Christina Hotham | Physician Assistant | 11110 W Oakland Park Blvd, Sunrise, FL 33351-6808 | 2015-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| Find all providers with the same taxonomy | ||||
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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.