CHARLES CEVALLOS (NPI# 1346788155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346788155 |
Entity Type | Individual |
Full Name | CHARLES CEVALLOS |
Credential | D.O |
Practice Address |
1600 S Andrews Ave Ft Lauderdale FL 33316-2510 |
Practice Telephone | 9543553478 |
Mailing Telephone | 9543553478 |
Enumeration Date | 2017-02-01 |
Last Update Date | 2020-06-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | UO3899 | FL | Allopathic & Osteopathic Physicians |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OS16582 | FL | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | UO3899 | FL | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
5433 Sw 186th Way, Miramar, FL 330296256 | 9542353961 |
Street Address |
1600 S ANDREWS AVE |
City | FT LAUDERDALE |
State | FL |
Zip Code | 33316-2510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285637066 | Phoenix Obstetrics-gynecology LLC | Obstetrics & Gynecology | 1600 S Andrews Ave, Suite 323, West Wing, Ft Lauderdale, FL 33316-2510 | 2005-05-24 |
1285253542 | Carmen S Ceron Velasquez | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2020-04-15 |
1538788567 | Chris Angelo Haritos Jr. | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2020-04-09 |
1699260018 | Estefania Romina Niewialkouski | Pediatrics | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2018-06-27 |
1992200919 | Charee Howard | Family Medicine | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2018-03-30 |
1780190264 | Justin Limtong | Orthopaedic Surgery | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2017-12-20 |
1114459625 | Amy Surti | Internal Medicine | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2017-04-03 |
1417497280 | Elizabeth Fernandez | Pediatrics | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2017-02-27 |
1407394562 | Broward General Medical Center | General Acute Care Hospital | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2017-02-08 |
1972040681 | Bijan Joseph Ameri | Orthopaedic Surgery | 1600 S Andrews Ave, Ft Lauderdale, FL 33316 | 2017-01-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
Find all providers in zip 33316 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497861215 | Stephen M Morris | Internal Medicine | 5430 Shady Oak Ln, Ft Lauderdale, FL 33312-6224 | 2006-08-22 |
1912996729 | Andre J Landau | Internal Medicine | 6333 N Federal Highway, Suite 400, Ft Lauderdale, FL 33308-1913 | 2005-10-14 |
1588975833 | Faraaz Mushtaq | Internal Medicine | 1600 S Andrews Ave, 1st Fl, Atrium Heart Center of Excellence, Ft Lauderdale, FL 33316-2510 | 2010-07-01 |
1972781904 | Alexander Llanos | Internal Medicine | 4725 N Federal Hwy, Ste 401, Ft Lauderdale, FL 33308-4603 | 2008-02-01 |
1831310903 | David E Perloff Md Pa | Internal Medicine | 1625 Se 3rd Ave, Suite 721, Ft Lauderdale, FL 33316-2521 | 2007-05-02 |
1144230681 | Alfredo J. Alvarez | Internal Medicine | 4725 N Federal Hwy, Suite 401, Ft Lauderdale, FL 33308 | 2006-08-08 |
1194748400 | Gerald L Kuykendall | Internal Medicine | 1309 S Federal Hwy, Ft Lauderdale, FL 33316-2040 | 2006-07-26 |
1578584801 | Frank T Finlon | Internal Medicine | 1309 S Federal Hwy, Ft Lauderdale, FL 33316-2040 | 2006-07-21 |
1124063326 | Broward General Ekg Associates, Inc | Internal Medicine | 1600 S Andrews Ave, Ft Lauderdale, FL 33316-2510 | 2006-06-19 |
1508855339 | Joel Gellman | Internal Medicine | 6333 N Federal Hwy, Suite 400, Ft Lauderdale, FL 33308-1913 | 2005-10-14 |
Find all providers in FT LAUDERDALE |
City | FT LAUDERDALE |
Zip Code | 33316 |
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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.