CYNTHIA WIGUTOW RD LLC (NPI# 1508229436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508229436 |
Entity Type | Organization |
Organization Name | CYNTHIA WIGUTOW RD LLC |
Practice Address |
1150 N 35th Ave Suite 170 Hollywood FL 33021-5424 |
Mailing Address |
3470 N 31st Ave Hollywood FL 33021-2659 |
Practice Telephone | 9542657028 |
Enumeration Date | 2016-03-29 |
Last Update Date | 2016-03-29 |
Authorized Official Name | CYNTHIA WIGUTOW (DIETITIAN) |
Authorized Official Telephone | 9546145971 |
Authorized Official Credential | MS, RDN, CSO, LD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities | ||
N | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities | ||
Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
Street Address |
1150 N 35TH AVE SUITE 170 |
City | HOLLYWOOD |
State | FL |
Zip Code | 33021-5424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336144641 | Hoang Duong | Radiology | 1150 N 35th Ave, Ste 300, Hollywood, FL 33021 | 2005-06-15 |
1457868861 | Archana John | Nurse Practitioner | 1150 N 35th Ave, Ste 300, Hollywood, FL 33021 | 2018-01-08 |
1003326281 | Fiorella Jahaira Saka | Nurse Practitioner | 1150 N 35th Ave, Suite 590, Hollywood, FL 33021-2118 | 2017-10-02 |
1790218865 | All Women's Healthcare, Inc | Obstetrics & Gynecology | 1150 N 35th Ave, Suite 550 B, Hollywood, FL 33021-5424 | 2017-04-06 |
1265972004 | Claudia Cortes | Physician Assistant | 1150 N 35th Ave, Suite 445, Hollywood, FL 33021-5424 | 2017-02-27 |
1669917837 | South Broward Hospital District | Internal Medicine | 1150 N 35th Ave, Hollywood, FL 33021-5424 | 2016-12-27 |
1114462207 | Lali B Parathalackal | Nurse Practitioner | 1150 N 35th Ave, Ste 460, Hollywood, FL 33021 | 2016-12-27 |
1598216681 | Sara Shemella | Physician Assistant | 1150 N 35th Ave, #575, Hollywood, FL 33021-5424 | 2016-10-24 |
1831542182 | Michael Medical Associates LLC | Internal Medicine | 1150 N 35th Ave, Suite 240, Hollywood, FL 33021-5424 | 2016-07-21 |
1821442922 | Layla Silverman | Dietitian, Registered | 1150 N 35th Ave, Suite 270, Hollywood, FL 33021-5424 | 2016-04-15 |
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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 | 261QX0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oncology |
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689154007 | Atlantic Hematology and Oncology Associates | Clinic/Center | 42 Caroline St Unit A, Bunnell, FL 32110-8904 | 2018-08-15 |
1982080362 | Vicinitas Midwestern, Inc. | Clinic/Center | 5900 Broken Sound Pkwy Nw, Boca Raton, FL 33487-2797 | 2015-08-07 |
1992726228 | Northwest Florida Hematology Oncology P A | Clinic/Center | 301 West 26th Street, Lynn Haven, FL 32444 | 2006-07-22 |
1770142523 | Patriot Oncology LLC | Clinic/Center | 100 Arricola Ave, St Augustine, FL 32080-4515 | 2019-06-06 |
1689113490 | Lambrou Md Gynecologic Oncology, Pllc | Clinic/Center | 6200 Sunset Dr, Suite 502, South Miami, FL 33143-4828 | 2017-02-14 |
1902276769 | Suncoast Cancer Institute Pllc | Clinic/Center | 1217 East Ave South, Ste 201-203, Sarasota, FL 34239-2344 | 2015-10-05 |
1437536117 | Vicinitas Texas | Clinic/Center | 5900 Broken Sound Pkwy, Boca Raton, FL 33487-2797 | 2015-05-01 |
1356728034 | Vicinitas Eastern, Inc | Clinic/Center | 5900 Broken Sound Pkwy, Boca Raton, FL 33487-2797 | 2015-05-01 |
1407233232 | Vicinitas Cancer Care, LLC | Clinic/Center | 5900 Broken Sound Pkwy, Boca Raton, FL 33487-2797 | 2015-04-30 |
1083033559 | Integrative Cancer Therapeutics LLC | Clinic/Center | 4800 N. Federal Hwy., Suite B300, Boca Raton, FL 33431-3409 | 2014-04-14 |
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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.