PREMIER OBGYN OF SOUTH FLORIDA PLLC (NPI# 1407372840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407372840 |
| Entity Type | Organization |
| Organization Name | PREMIER OBGYN OF SOUTH FLORIDA PLLC |
| Practice Address |
8145 Nw 155th St Ste B Miami Lakes FL 33016-5872 |
| Practice Telephone | (305) 698-5300 |
| Practice Fax Number | 3056985302 |
| Mailing Telephone | 3056985300 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Authorized Official Name | DR. JORGE PANDO (OWNER) |
| Authorized Official Telephone | 3056985300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000165000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588838361 | Premier Obgyn of South Florida Pllc | Specialist | 7100 W 20th Ave, Suite 701, Hialeah, FL 33016-1897 | 2008-04-14 |
| Street Address |
8145 NW 155TH ST STE B |
| City | MIAMI LAKES |
| State | FL |
| Zip Code | 33016-5872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450580 | Yenly Hernandez Arrieta | Behavior Technician | 6550 West 22 Court, Hialeah, FL 33016 | 2020-09-03 |
| 1952929028 | Live Mental Care Inc | Community/Behavioral Health | 8040 Nw 95th St., Unit 226, Hialeah Gardens, FL 33016 | 2020-07-06 |
| 1497375059 | Lisset Sirven | Student in an Organized Health Care Education/Training Program | Palmetto General Hospital, 2001 W 68th St, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-23 |
| 1386264331 | Zahid Chaudhry | Student in an Organized Health Care Education/Training Program | 2001 W 68th Street, Suite 202, Medical Education Dept, Hialeah, FL 33016 | 2020-04-20 |
| 1386285021 | Monica Hurtado | Behavior Technician | 2480 W 67th Pl # 22, Hialeah, FL 33016 | 2019-10-03 |
| 1346892783 | Yamile Blanco Rodriguez | Behavior Technician | 2265 W 55th St, Hialeah, FL 33016 | 2019-07-16 |
| 1669938197 | Althea Aesthetics & Medical Arts Center | Pathology | 14160 Nw 77th Court., Suite 100, Miami Lakes, FL 33016 | 2019-02-20 |
| 1497226096 | Dominick Maurici | Physical Therapy Assistant | 9905 Nw 79 Ave, Hialeah Gardens, FL 33016 | 2018-12-09 |
| 1871061283 | Lazaro Teresa-calleja Jr. | Nurse Practitioner | 2715 West 73 Pl, Hialeah, FL 33016 | 2018-11-05 |
| 1245719640 | Yagna Elena Martinez La Fe | Nurse Practitioner | 7191 W 24th Ave Apt 56, Hialeah, FL 33016 | 2018-08-07 |
| Find all providers in zip 33016 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104298488 | Lakes Healthcare & Spa | Specialist | 15700 Nw 67th Ave, Suite 101, Miami Lakes, FL 33014-2109 | 2015-10-26 |
| 1841675303 | Eloy Roman Md., P.a. | Specialist | 5801 Nw 151st St Ste 300, Miami Lakes, FL 33014-2437 | 2015-07-27 |
| 1003212226 | Ana M Hernandez-casablanca | Specialist | 6914 Main St, Apt. 264, Miami Lakes, FL 33014-7011 | 2014-11-16 |
| 1396043253 | Ariadna Collazo | Specialist | 15346 Nw 79th Ct, Miami Lakes, FL 33016-5850 | 2011-03-02 |
| 1316190358 | Angel A. De Armendi | Specialist | 5190 Nw 167th St Ste 109, Miami Lakes, FL 33014-6329 | 2008-11-03 |
| 1720254113 | Cristina Agostinelli | Specialist | 15529 Bull Run Rd, Miami Lakes, FL 33014-7004 | 2008-05-05 |
| 1437323219 | Jorge Pando | Specialist | 8145 Nw 155th St, Suite B, Miami Lakes, FL 33016-5872 | 2008-04-14 |
| 1992776314 | Andrew J Hanly | Specialist | 16250 Nw 59th Ave, Suite 201, Miami Lakes, FL 33014-7542 | 2006-02-01 |
| 1598744914 | Mayre Urdaneta | Specialist | 8060 Nw 155th St Ste 201, Miami Lakes, FL 33016-5883 | 2006-01-13 |
| 1033664354 | Stanislaw Anthony Sowinski Jr. | Specialist | 15150 Bull Run Rd, Miami Lakes, FL 33014-2167 | 2016-08-16 |
| Find all providers in MIAMI LAKES | ||||
| City | MIAMI LAKES |
| Zip Code | 33016 |
Please comment or provide details below to improve the information on PREMIER OBGYN OF SOUTH FLORIDA PLLC.
| 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.