SERGE GARDERE (NPI# 1275838542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275838542 |
| Entity Type | Individual |
| Full Name | SERGE GARDERE |
| Credential | D.O. |
| Practice Address |
1201 Ne 26th St Ste 109 Wilton Manors FL 33305-1206 |
| Practice Telephone | 9543817334 |
| Practice Fax Number | 8888091631 |
| Mailing Telephone | 9543817334 |
| Mailing Fax Number | 8888091631 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | OS11912 | FL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | OS11912 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3700 Washington St Ste 401, Hollywood, FL 330218249 | 9549556622 | 8888091631 |
| Street Address |
1201 NE 26TH ST STE 109 |
| City | WILTON MANORS |
| State | FL |
| Zip Code | 33305-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740265529 | Doris B Newman | Neuromusculoskeletal Medicine & OMM | 1201 Ne 26th St Ste 109, Wilton Manors, FL 33305-1206 | 2005-12-14 |
| 1386057966 | Hussein Anan | Family Medicine | 1201 Ne 26th St Ste 109, Wilton Manors, FL 33305-1206 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244331 | Michael Moses Gans | Social Worker | 520 Ne 20th Street, #603, Wilton Manors, FL 33305 | 2020-01-14 |
| 1922650159 | Samantha Jones | Chiropractor | 1732 Ne 26th St Ste 201, Wilton Manors, FL 33305 | 2019-07-09 |
| 1033601653 | Neuro Intergration LLC | Psychologist | 2500 N Federal Hwy Ste 100, Fort Lauderdale, FL 33305 | 2018-05-30 |
| 1548775000 | Inbox Inc. | Counselor | 1650 Ne 26th St., Suite 206, Wilton Manors, FL 33305 | 2017-12-06 |
| 1306394168 | The 5 Elements Spa & Longevity Center | Health Maintenance Organization | 2288 Wilton Drive, Wilton Manors, FL 33305 | 2016-09-21 |
| 1467900449 | Crystal L Cacolici | Acupuncturist | 1732 Ne 26th St Ste 202, Wilton Manors, FL 33305 | 2016-09-19 |
| 1649634809 | Terri-ann Brown Arnp | Nurse Practitioner | 1881 Ne 26th Street, Suite 102, Fort Lauderdale, FL 33305 | 2016-04-13 |
| 1194130203 | Rhea Butchey | Optometrist | 2131 N Federal Hwy, Fort Lauderdale, FL 33305 | 2014-06-26 |
| 1891128732 | Ashton Pierce Thompson | Internal Medicine | 2449 Ne 13th Ave, Wilton Manors, FL 33305 | 2013-08-14 |
| 1427300789 | Kids In Distress | Foster Care Agency | 819 Ne 26th St., Ft. Laud, FL 33305 | 2012-10-11 |
| Find all providers in zip 33305 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265608616 | Joseph Fanfan Jr. | Family Medicine | 2630n Andrews Ave, Wilton Manors, FL 33311-2550 | 2008-05-06 |
| 1992803688 | Howard Scott Khani | Family Medicine | 2140 Ne 26th St, Wilton Manors, FL 33305-1536 | 2006-09-20 |
| 1467472068 | Las Olas Medical Group & Spa | Family Medicine | 2607 Ne 10th Ave, Wilton Manors, FL 33334-3707 | 2006-07-19 |
| 1629006119 | Florida Institute of Health Ltd Lllp | Family Medicine | 2630 N Andrews Avenue, Wilton Manors, FL 33305 | 2006-06-30 |
| 1386057966 | Hussein Anan | Family Medicine | 1201 Ne 26th St Ste 109, Wilton Manors, FL 33305-1206 | 2014-06-11 |
| 1598034167 | Sheryl Jeanette Zayas | Family Medicine | 871 W Oakland Park Blvd, Wilton Manors, FL 33311-1731 | 2011-12-27 |
| 1518247337 | North Broward Hospital District | Family Medicine | 2101 Ne 26th St, Wilton Manors, FL 33305-1535 | 2011-08-24 |
| 1679702278 | Rachael Gittens Md LLC | Family Medicine | 1100 W Oakland Park Blvd, Unit 3, Wilton Manors, FL 33311-1612 | 2009-07-06 |
| 1013172873 | Karl S Brot Md Pa | Family Medicine | 1749 Ne 26th St, Suite E, Wilton Manors, FL 33305-1428 | 2008-07-22 |
| 1568677961 | Fred D Khani | Family Medicine | 2140 Ne 26th St, Wilton Manors, FL 33305-1536 | 2007-05-11 |
| Find all providers in WILTON MANORS | ||||
| City | WILTON MANORS |
| Zip Code | 33305 |
Please comment or provide details below to improve the information on SERGE GARDERE.
| 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.