ROBERT J. SHEPARD, O.D. P.A. (NPI# 1609052984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609052984 |
| Entity Type | Organization |
| Organization Name | ROBERT J. SHEPARD, O.D. P.A. |
| Practice Address |
2161 E Commercial Blvd Suite #4 Fort Lauderdale FL 33308-3810 |
| Practice Telephone | 9547719120 |
| Practice Fax Number | 9547714883 |
| Mailing Telephone | 9547719120 |
| Mailing Fax Number | 9547714883 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | DR. ROBERT J SHEPARD (OWNER) |
| Authorized Official Telephone | 9547719120 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
2161 E COMMERCIAL BLVD SUITE #4 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289621 | Alan D Shoopak Dmd Orthodontic Group II LLC | Dentist | 2161 E Commercial Blvd, Fort Lauderdale, FL 33308-3810 | 2020-09-15 |
| 1043475437 | International Smile Institute Pa | Dentist | 2161 E Commercial Blvd, 3rd Floor, Fort Lauderdale, FL 33308 | 2008-07-24 |
| 1437196847 | Todd Jason Sawisch | Dentist | 2161 E Commercial Blvd, Fort Lauderdale, FL 33308-3810 | 2006-06-02 |
| 1609827161 | Roberto P Coquis Sr. | Specialist | 2161 E Commercial Blvd, 2nd Floor, Fort Lauderdale, FL 33308-3810 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881225746 | Healthcare Receivables Management Inc | Clinic/Center | 1915 Ne 45th St Ste 202, Fort Lauderdale, FL 33308-5100 | 2020-01-30 |
| 1891269239 | Lqv Lauderdale Beach LLC | Clinic/Center | 3349 Ne 33rd St Ste B, Fort Lauderdale, FL 33308-7111 | 2019-01-18 |
| 1942625538 | Comprehensive Medical Associates, Inc | Clinic/Center | 606 Nw 8th Ave, Fort Lauderdale, FL 33311-7315 | 2014-02-19 |
| 1548608946 | Sunbelt Medical Billings Inc | Clinic/Center | 3020 Ne 32nd Ave, Suite 326, Fort Lauderdale, FL 33308-7221 | 2013-06-06 |
| 1952645905 | Aids Healthcare Foundation | Clinic/Center | 700 Se 3rd Ave Ste 301, Fort Lauderdale, FL 33316 | 2012-11-15 |
| 1942512447 | Professional Pain Management Clinic Inc | Clinic/Center | 3267 Davie Blvd, Fort Lauderdale, FL 33312 | 2010-07-13 |
| 1295997054 | Chiro-wellness Mobile Services Inc | Clinic/Center | 1110 Ne 16th Pl Apt 3, Fort Lauderdale, FL 33305-3159 | 2008-07-01 |
| 1194911248 | Advanced Massage Therapy | Clinic/Center | 2217 S Federal Hwy, Fort Lauderdale, FL 33316-3508 | 2007-09-22 |
| 1649895350 | Bey Health Solutions LLC | Clinic/Center | 1200 E Broward Blvd, Fort Lauderdale, FL 33301-2134 | 2020-06-09 |
| 1124581632 | Doctors United Group Inc | Clinic/Center | 3215 Nw 10th Ter Ste 209b, Fort Lauderdale, FL 33309-5934 | 2019-04-11 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.