JOANAH C BODERO (NPI# 1316100571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316100571 |
Entity Type | Individual |
Full Name | JOANAH C BODERO |
Credential | P.A. |
Practice Address |
4302 Alton Rd Suite 830 Miami Beach FL 33140-2891 |
Mailing Address |
Po Box 816759 Hollywood FL 33081-0759 |
Practice Telephone | 3056742950 |
Practice Fax Number | 9549646084 |
Mailing Telephone | 9549642450 |
Mailing Fax Number | 9549646084 |
Enumeration Date | 2008-07-08 |
Last Update Date | 2008-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9104352 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4302 ALTON RD SUITE 830 |
City | MIAMI BEACH |
State | FL |
Zip Code | 33140-2891 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023011970 | Ralph G Nader | Specialist | 4302 Alton Rd, Ste 220, Miami Beach, FL 33140-2891 | 2005-05-24 |
1679007546 | Lynhdiem Bui | Physician Assistant | 4302 Alton Rd, Suite 810, Miami Beach, FL 33140-2891 | 2017-04-17 |
1962941310 | Samantha Lehmann | Physician Assistant | 4302 Alton Rd, Suite 760, Miami Beach, FL 33140-2891 | 2017-02-17 |
1194170852 | Peritoneal Dialysis Center Inc | Clinic/Center | 4302 Alton Rd, Suite 400, Miami Beach, FL 33140-2891 | 2016-05-02 |
1881063493 | Viviana Andrea Martinez Galvis | Audiologist | 4302 Alton Rd, Suite 115, Miami Beach, FL 33140-2891 | 2015-09-24 |
1437549276 | Andrea Gold Schein | Internal Medicine | 4302 Alton Rd, Miami Beach, FL 33140-2891 | 2015-02-02 |
1568852549 | Danielle Duquesnay | Physician Assistant | 4302 Alton Rd, Suite 830, Miami Beach, FL 33140-2891 | 2015-01-29 |
1568851921 | Five Star Medical Center, Copr | Internal Medicine | 4302 Alton Rd, Suite 900, Miami Beach, FL 33140-2891 | 2015-01-22 |
1174921480 | Elite Health Mso, LLC | Internal Medicine | 4302 Alton Rd, Suite 300, Miami Beach, FL 33140-2891 | 2014-12-18 |
1720484447 | Erik Bustillo | Dietitian, Registered | 4302 Alton Rd, Suite 300, Miami Beach, FL 33140-2891 | 2014-11-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891310660 | Melanee Beth Leventhal | Registered Nurse | 4101 Pine Tree Drive,unit1507, Miami Beach, FL 33140 | 2020-06-08 |
1720555121 | Yuleima Placencia Gonzalez | Nurse Practitioner | 4308 Alton Road. Suite 620, Miami Beach, FL 33140 | 2018-10-24 |
1922587641 | Catherine A Prendiville | Social Worker | 975 Arthur Godfrey Rd, Suite 302, Miami Beach, FL 33140 | 2018-08-13 |
1346768991 | Eddy Montesino | Specialist/Technologist, Other | 4300 Alton Rd, Miami Beach, Miami, FL 33140 | 2017-09-05 |
1417477316 | Salud Pack Inc | Durable Medical Equipment & Medical Supplies | 5401 Collins Ave Suite Cu9, Miami Beach, FL 33140 | 2017-06-21 |
1205371580 | Sindy Ruiz | Behavior Technician | 5333 Collins Ave Apt.1102, Miami Beach, FL 33140 | 2016-12-22 |
1841655594 | Sofl Physicians Group LLC | Nutritionist | 4045 Sheridan Ave. #236, Miami Beach, FL 33140 | 2015-12-23 |
1174908982 | Merlyn Josende | Counselor | 5880 Collins Ave., #904, Miami Beach, FL 33140 | 2015-07-22 |
1720320955 | Nicholas Santiago Camps | Internal Medicine | 4302 Alton Rd Ste 670, Miami Beach, FL 33140 | 2013-03-26 |
1508102443 | Brenda Klepack | Counselor | 4701 N. Meridian, # 403522, Miamia Beach, FL 33140 | 2012-12-21 |
Find all providers in zip 33140 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013419464 | Stacy Maree Dorado | Physician Assistant | 4308 Alton Rd Ste 610, Miami Beach, FL 33140-4559 | 2018-03-01 |
1063652881 | Kirstin E Anderson | Physician Assistant | 4302 Alton Rd, Suite 830, Miami Beach, FL 33140-2891 | 2009-03-06 |
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 |
City | MIAMI BEACH |
Zip Code | 33140 |
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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.