HERBERT GOLDWIRE PA (NPI# 1578823886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578823886 |
Entity Type | Organization |
Organization Name | HERBERT GOLDWIRE PA |
Practice Address |
3075 Nw 35th Ave Lauderdale Lakes FL 33311-1107 |
Mailing Address |
20 Nw 13th Ave Dania FL 33004-5107 |
Practice Telephone | 9546812881 |
Mailing Telephone | 9546812881 |
Enumeration Date | 2012-05-21 |
Last Update Date | 2012-05-21 |
Authorized Official Name | MR. HERBERT GOLDWIRE (PRESIDENT) |
Authorized Official Telephone | 9546812881 |
Authorized Official Credential | ARNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9207809 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3075 NW 35TH AVE |
City | LAUDERDALE LAKES |
State | FL |
Zip Code | 33311-1107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578559902 | St Johns Rehabilitation Hospital and Nursing Center Inc | Nursing Facility/Intermediate Care Facility | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2005-09-21 |
1851820922 | Mirza Medical Pa | Internal Medicine | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2017-06-12 |
1548545601 | Practitioner Medical Services Inc | Clinic/Center | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2011-10-19 |
1669763462 | Nova Southeastern University, Inc | Dentist | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2011-04-27 |
1841521002 | Marie Michelle Carner | Nurse Practitioner | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2010-01-27 |
1811923352 | Clinton Jules | Specialist | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2006-06-25 |
1184679318 | Catholic Home Health Services of Broward Inc | Home Health | 3075 Nw 35th Ave, Lauderdale Lakes, FL 33311-1107 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
Find all providers in zip 33311 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
Find all providers with the same taxonomy |
City | LAUDERDALE LAKES |
Zip Code | 33311 |
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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.