PINES EEG ASSOCIATES, INC. (NPI# 1427178664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427178664 |
| Entity Type | Organization |
| Organization Name | PINES EEG ASSOCIATES, INC. |
| Practice Address |
3501 Johnson St Hollywood FL 33021-5421 |
| Mailing Address |
1725 E Highway 50 Ste C Clermont FL 34711-5188 |
| Practice Telephone | 3522435651 |
| Mailing Telephone | 3522435651 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LORN LEITMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3052275176 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
3501 JOHNSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021274 | Trevor Swerdlow | Radiology | 3501 Johnson St, Hollywood, FL 33021-5421 | 2005-05-23 |
| 1619575784 | Shaquira Wells | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-10-12 |
| 1013521897 | Coeurlande Carry | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-31 |
| 1386255420 | Bernandes Jean-louis | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-12 |
| 1770194136 | Rock J Saint Louis | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-11 |
| 1851916282 | Porsha St Pierre | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-06-11 |
| 1770105918 | Robert Woods | Pharmacist | 3501 Johnson St, Inpatient Pharmacy, Hollywood, FL 33021-5421 | 2020-05-11 |
| 1114548013 | Kelsey Taylor | Registered Nurse | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-05-01 |
| 1588285464 | Aaron Alexander North | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-05-01 |
| 1932728714 | Patricia L. Altamirano | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-04-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760972616 | Neurofuture LLC | Psychiatry & Neurology | 7369 Sheridan St Ste 202, Hollywood, FL 33024-2776 | 2018-05-16 |
| 1932140902 | Seth Craig Tarras | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021 | 2006-06-09 |
| 1932159670 | Eduardo Cutie | Psychiatry & Neurology | 7369 Sheridan St Ste 101, Hollywood, FL 33024-2776 | 2006-05-11 |
| 1336553163 | Christian Bacheler | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021 | 2014-06-19 |
| 1720308034 | Sean Thomas Kenniff | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021-5468 | 2010-06-09 |
| 1962722876 | Adnan M Subei | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021 | 2010-06-03 |
| 1750583126 | Maike Tiede Blaya | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021 | 2007-06-05 |
| 1144422502 | Mhd Tarek Zakaria | Psychiatry & Neurology | 1150 N 35th Ave Ste 590, Hollywood, FL 33021 | 2007-06-05 |
| 1750474060 | Stuart B Brown | Psychiatry & Neurology | 4440 Sheridan St, Hollywood, FL 33021-3535 | 2006-10-02 |
| 1447279203 | Beena Shah | Psychiatry & Neurology | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2006-07-19 |
| Find all providers in HOLLYWOOD | ||||
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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.