TONI PATRICIA LATTIBEAUDIERE (NPI# 1558781906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558781906 |
| Entity Type | Individual |
| Full Name | TONI PATRICIA LATTIBEAUDIERE |
| Credential | APRN |
| Practice Address |
1150 North 35th Avenue Suite 205a Hollywood FL 33021 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542657550 |
| Practice Fax Number | 9542657555 |
| Mailing Telephone | 9542765685 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9170276 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 023499300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1951 Sw 172nd Ave Ste 404, Miramar, FL 330295614 | 9542657550 | 9542650130 |
| Street Address |
1150 NORTH 35TH AVENUE SUITE 205A |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235404633 | Marjorie Bredy | Nurse Practitioner | 1150 North 35th Avenue, Suite 130, Hollywood, FL 33021 | 2012-03-19 |
| 1467961243 | Cristina Callahan | Psychologist | 1150 North 35th Avenue, Suite 520, Hollywood, FL 33021 | 2017-09-25 |
| 1497284178 | Paulette Baldie | Nurse Practitioner | 1150 North 35th Avenue, Suite 330, Hollywood, FL 33021-5488 | 2017-06-07 |
| 1447614300 | Kelsey Bragg Mestrovic | Physician Assistant | 1150 North 35th Avenue, Suite 555, Hollywood, FL 33021 | 2016-04-07 |
| 1700257102 | Christine Monique Triporo | Physician Assistant | 1150 North 35th Avenue, Suite 575, Hollywood, FL 33021-5469 | 2015-10-12 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249714 | Phenise Jean | Nurse Practitioner | 7230 Allen Dr, Hollywood, FL 33024-7150 | 2020-09-11 |
| 1710522016 | Abbdady Charles | Nurse Practitioner | 2839 Taylor St Apt 8, Hollywood, FL 33020-4277 | 2019-11-10 |
| 1922666312 | Concepcion Fornaris Caballero | Nurse Practitioner | 6351 Adams St, Hollywood, FL 33023-1749 | 2019-05-31 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1003329152 | Bella Gleiser Mendez | Nurse Practitioner | 1150 N 35th Ave Ste 385, Hollywood, FL 33021-5429 | 2017-11-13 |
| 1760867410 | Therapeutic Recreational Activities, LLC | Nurse Practitioner | 221 N 46th Ave, Hollywood, FL 33021-6603 | 2015-07-23 |
| 1417292509 | Irina Rafailovna Rozenfeld | Nurse Practitioner | 1930 Harrison St Ste 404, Hollywood, FL 33020-7829 | 2012-11-30 |
| 1952678773 | Tanya-ann Marie Rausch | Nurse Practitioner | 4000 Sheridan Street, Suite A, Hollywood, FL 33021 | 2011-11-22 |
| 1427077742 | Deisy Diaz | Nurse Practitioner | 6750 Taft St, Hollywood, FL 33024-3903 | 2006-07-18 |
| 1477559961 | Maria C Barrientos | Nurse Practitioner | 3501 Johnson Street, Third Floor, Hollywood, FL 33021-5421 | 2005-06-21 |
| 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.