JOHANA F DUQUE (NPI# 1497057350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497057350 |
| Entity Type | Individual |
| Full Name | JOHANA F DUQUE |
| Credential | PA |
| Practice Address |
4850 W Oakland Park Blvd 201 Lauderdale Lakes FL 33313-7260 |
| Practice Telephone | 9547353535 |
| Practice Fax Number | 9547357908 |
| Mailing Telephone | 9547353535 |
| Mailing Fax Number | 9547357908 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2016-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9105593 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009196800 | 05 |
| Street Address |
4850 W OAKLAND PARK BLVD 201 |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33313-7260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344493 | Humaira V Khan | Internal Medicine | 4850 W Oakland Park Blvd, Ste 132, Lauderdale Lakes, FL 33313-7268 | 2005-05-23 |
| 1891329868 | Melissa Valdes | Nurse Practitioner | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2020-02-27 |
| 1083155931 | Sandra Arlenne Llosa Peralta | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2017-03-12 |
| 1740730688 | Richard B Polakoff Md Pa | Exclusive Provider Organization | 4850 W Oakland Park Blvd, Ste 143, Lauderdale Lakes, FL 33313-7260 | 2016-10-04 |
| 1043765837 | Ereny Hanna | Physical Therapist | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2016-08-22 |
| 1538522651 | Angela Hayes | Physical Therapy Assistant | 4850 W Oakland Park Blvd, 201, Lauderdale Lakes, FL 33313-7260 | 2016-04-05 |
| 1417314204 | David Tiderman | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2016-01-25 |
| 1992162820 | Nader Henry | Pharmacist | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2016-01-22 |
| 1912397464 | Amber Mead | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2015-02-04 |
| 1386059517 | Blue Water Pain Solutions, Pa | Anesthesiology | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2014-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447540315 | We Care Family Clinic Incorporated | Physician Assistant | 4410-12 W. Oakland Park Blvd., Lauderdale Lakes, FL 33313 | 2011-04-13 |
| 1588640056 | Cybelle Perez Herrera | Physician Assistant | 2957 Nw 27th St, Lauderdale Lakes, FL 33311-2040 | 2005-12-16 |
| 1164822649 | Tiffany Renee Comerie | Physician Assistant | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2014-09-03 |
| 1245587161 | Didier Mbenza | Physician Assistant | 3500 N State Road 7, Suite 211, Lauderdale Lakes, FL 33319-5600 | 2012-08-09 |
| 1710963129 | Judith Spring Gallagher | Physician Assistant | 2957 Nw 27th St, Lauderdale Lakes, FL 33311-2040 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
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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.