CARLENE HAMILTON MCINTOSH


Address: 15743 Sw 21st St, Miramar, FL 33027-4201
Phone: 9545344693

CARLENE HAMILTON MCINTOSH (NPI# 1407338106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407338106
Entity Type Individual
Full Name CARLENE HAMILTON MCINTOSH
Practice Address 15743 Sw 21st St
Miramar
FL 33027-4201
Practice Telephone 9545344693
Mailing Telephone 9545344693
Enumeration Date 2018-08-30
Last Update Date 2018-08-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP9202413 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15743 SW 21ST ST
City MIRAMAR
State FL
Zip Code 33027-4201

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1669966388 Elena N Diaz Nurse Practitioner 1951 Sw 172nd Ave Ste 308, Miramar, FL 33029-5614 2018-06-16
1497298558 John Tassy Philord Nurse Practitioner 6871 Sw 39th Ct, Miramar, FL 33023-6634 2016-11-22
1609416650 Norma Louise Larose Nurse Practitioner 1951 Sw 172nd Ave Ste 305, Miramar, FL 33029-5614 2020-01-07

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Competitor

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City MIRAMAR
Zip Code 33027

Improve Information

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Dataset Information

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.

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