MOTHER DAUGHTER PRIMARY CARE LLC (NPI# 1447715305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447715305 |
| Entity Type | Organization |
| Organization Name | MOTHER DAUGHTER PRIMARY CARE LLC |
| Practice Address |
4141 Nw 5th St Ste 102 Plantation FL 33317-2180 |
| Mailing Address |
6919 W Broward Blvd Unit 184 Plantation FL 33317-2902 |
| Practice Telephone | 7543022992 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | MS. ANGELLA JOHN (APRN, FNP-BC) |
| Authorized Official Telephone | 9293200007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4141 NW 5TH ST STE 102 |
| City | PLANTATION |
| State | FL |
| Zip Code | 33317-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704434 | Md Now Medical Centers Inc | Clinic/Center | 4640 W Commercial Blvd, Tamarac, FL 33317 | 2019-08-06 |
| 1902348675 | Atroypen Group, Inc | Case Management | 4330 W Broward Blvd Ste R, Plantation, FL 33317 | 2016-11-13 |
| 1417329665 | Marie Eronne Jean Charles | Nurse Practitioner | 6901 Cypress Road, Plantation, FL 33317 | 2015-10-28 |
| 1871977025 | Yanliceth Rodriguez | Clinic/Center | 4430 Sw 22nd Ct, Ft Lauderdale, FL 33317 | 2015-07-17 |
| 1710361472 | Melissa Coffman | Physician Assistant | 960 Sw 74th Avenue, Plantation, FL 33317 | 2015-07-13 |
| 1134511058 | Emad Ziaden | Physical Therapist | 747 S. State Rd 7, Plantation, FL 33317 | 2015-03-02 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1821427675 | Mankame, Dipak M., D.d.s., P.a. | Dentist | 300 N.w. 70th Ave Suite 109, Plantation, FL 33317 | 2013-11-02 |
| 1679828826 | Kozy Kove Assisted Living Facility | Assisted Living Facility | 490 Nw 45 Terr, Plantation, FL 33317 | 2012-07-13 |
| 1205102845 | Aratha Franklin Dixon | Psychologist | 4121 Nw 5th # 207, Plantation, FL 33317 | 2012-03-28 |
| Find all providers in zip 33317 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083259725 | Alex Reza Daeisadeghi | Nurse Practitioner | 1600 Sw 78th Ave Apt 322, Plantation, FL 33324-3394 | 2019-11-15 |
| 1588074686 | Husna Oleed | Nurse Practitioner | 40 Nw 76th Ave, Apt # 104, Plantation, FL 33324-2040 | 2014-04-29 |
| 1598009748 | Ernestine Wielandt | Nurse Practitioner | 9081 Nw 13th St, Plantation, FL 33322-4915 | 2012-11-11 |
| 1922658715 | Kenisha Lanay Turner | Nurse Practitioner | 350 Nw 84th Ave Ste 200b, Plantation, FL 33324-1817 | 2019-09-13 |
| 1255759759 | Anya Randle-colclough | Nurse Practitioner | 8200 W Sunrise Blvd Bldg C, Plantation, FL 33322-5426 | 2014-04-01 |
| 1700196839 | Anabel Cento | Nurse Practitioner | 1776 N Pine Island Rd Ste 106, Plantation, FL 33322-5200 | 2010-10-07 |
| 1396908190 | Dana J Mehra | Nurse Practitioner | 350 N Pine Island Rd, Suite 302, Plantation, FL 33324-1849 | 2008-07-02 |
| 1770590127 | Judith Ann Lilja | Nurse Practitioner | 6931 W Sunrise Blvd, Plantation, FL 33313-4406 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193292 | Paulette Vital-herne | Nurse Practitioner | 4449 Old Highway 41 S, Sun City, FL 33586-9700 | 2020-10-26 |
| 1144828104 | Shilpa Narahari Reddy | Nurse Practitioner | 19435 N Coquina Way, Weston, FL 33332-2417 | 2020-10-13 |
| 1023615440 | Bridget Mary Rossi | Nurse Practitioner | 1536 Alford Street, Unit 5, Jacksonville, FL 32207-3220 | 2020-10-08 |
| 1154928612 | Haili Harless | Nurse Practitioner | 3961 23rd Ave N, Saint Petersburg, FL 33713-4850 | 2020-10-07 |
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1851998082 | Sanon Edmond | Nurse Practitioner | 5236 Arbor Glen Cir, Lake Worth, FL 33463-8066 | 2020-10-01 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1780291526 | Ilmary De Los Angeles Jimenez | Nurse Practitioner | 7909 Biltmore Blvd, Miramar, FL 33023-5829 | 2020-09-25 |
| 1972119535 | Dennis Carmelo Cadiz Serfino | Nurse Practitioner | 1960 Willesdon Dr E, Jacksonville, FL 32246-0694 | 2020-09-18 |
| 1760097745 | Amanee Orra | Nurse Practitioner | 3982 Bee Ridge Rd Ste H-a, Sarasota, FL 34233-1211 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | PLANTATION |
| Zip Code | 33317 |
Please comment or provide details below to improve the information on MOTHER DAUGHTER PRIMARY CARE LLC.
| 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.