DR. ELAINE DELVALLE LARA (NPI# 1508926619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508926619 |
| Entity Type | Individual |
| Full Name | DR. ELAINE DELVALLE LARA |
| Practice Address |
3200 S University Dr Davie FL 33328-2018 |
| Mailing Address |
3530 Mystic Pointe Dr Apt 1003 Aventura FL 33180-4527 |
| Practice Telephone | 9542627341 |
| Practice Fax Number | 9542621782 |
| Mailing Telephone | 3054662476 |
| Mailing Fax Number | 3054662476 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DTP414 | FL | Dental Providers |
| Street Address |
3200 S UNIVERSITY DR |
| City | DAVIE |
| State | FL |
| Zip Code | 33328-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495525 | Sharon Crane Siegel | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2005-05-24 |
| 1902419609 | Erika Zwachte | Pharmacist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-24 |
| 1578174462 | Teresa Aliana Gonzalez Escalona | Student in an Organized Health Care Education/Training Program | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1396356275 | Fahra Y Dawood | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1457962235 | Serena Ghodasra | Student in an Organized Health Care Education/Training Program | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-13 |
| 1487265476 | Ashley Culver | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-12 |
| 1417568635 | Yaseen Waqar | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-08-11 |
| 1184241465 | Sydney Si Ying Lin | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-07-02 |
| 1013534528 | Samantha Krueger | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-06-30 |
| 1124645056 | Crystal Kaye Victor | Optometrist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496708 | Venise Jacqueslouis | Behavior Technician | 8001 We 36th St, Suite 9, Davie, FL 33328 | 2019-09-17 |
| 1134780539 | 1st Nursing Care Services | Registered Nurse | 10335 Sw 50th Ct, Cooper City, FL 33328 | 2019-06-26 |
| 1023572245 | Rezan Tewolde | Pharmacist | 37772 Churchill Downs Drive, Davie, FL 33328 | 2019-01-23 |
| 1497237820 | Yasmeen Dahsheh | Behavior Technician | 8001 Sw 36th Street Suite #9, Davie, FL 33328 | 2018-09-01 |
| 1831686948 | Kristal Arias | Behavior Technician | 8001 Sw 36th Street, Suite #9, Davie, FL 33328 | 2018-04-16 |
| 1952810384 | April R Hardy | Behavior Technician | 8001 Sw 36 Street Suite 9, Davie, FL 33328 | 2017-09-28 |
| 1609391556 | Courtney M Talbert | Behavior Technician | 8001 Sw 36 St, Suite 9, Davie, FL 33328 | 2017-08-11 |
| 1639619349 | Remya Mathew | General Acute Care Hospital | 10030 Grove Ln, Cooper City, FL 33328 | 2017-02-28 |
| 1184161945 | Elizabeth Stabinski | Marriage & Family Therapist | 4900 South University Drive, Suite 200d, Davie, FL 33328 | 2017-01-31 |
| 1285097659 | Pandolfi Counseling Associates, Inc. | Social Worker | 5291 Sw 89th Ave, Cooper City, FL 33328 | 2016-04-01 |
| Find all providers in zip 33328 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437122025 | Jack Piermatti | Dentist | 3301 College Ave, Davie, FL 33314-7796 | 2006-02-13 |
| 1861495525 | Sharon Crane Siegel | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2005-05-24 |
| 1093089773 | Alejandro J Ibarra | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2012-02-28 |
| 1619257581 | Carlos F Villanueva | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2011-08-24 |
| 1770876443 | Evren Kilinc | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2011-05-27 |
| 1013149863 | Antonio Godoy | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2009-08-12 |
| 1922167204 | Marie Valentine Lim | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2006-12-06 |
| 1790843118 | Rafael Gerardo Castellon | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2006-12-05 |
| 1912012147 | Mark Lee Greenberg | Dentist | 3200 S University Dr, Nsu College of Dental Medicine, Davie, FL 33328-2018 | 2006-08-20 |
| 1013022342 | Joel Melvin Hauptman | Dentist | 3200 S University Dr, Davie, FL 33328-2018 | 2006-08-19 |
| Find all providers in DAVIE | ||||
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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.