ANGIE J LASTRA (NPI# 1629347083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629347083 |
| Entity Type | Individual |
| Full Name | ANGIE J LASTRA |
| Credential | MD |
| Practice Address |
3702 Washington St Ste 303 Hollywood FL 33021 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9545182424 |
| Practice Fax Number | 9549813476 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | ME121548 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017377500 | 05 |
| Street Address |
3702 WASHINGTON ST STE 303 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867847 | Alan K Novick | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021 | 2005-08-09 |
| 1063073021 | Shama R Gresseau | Nurse Practitioner | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2019-06-21 |
| 1477039451 | Karinna O Vazquez | Psychologist | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2018-07-13 |
| 1134638935 | Alessandra Zapata | Nurse Practitioner | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2017-09-25 |
| 1356700892 | Ian Miller | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2016-02-12 |
| 1508253477 | Andrew Chang | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2015-04-18 |
| 1750726378 | South Broward Hospital District | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2013-05-09 |
| 1225331531 | Jeremy Allen Jacobs | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021 | 2010-12-08 |
| 1467770248 | Jackson George Cohen | Pain Medicine | 3702 Washington St Ste 303, Hollywood, FL 33021 | 2010-05-04 |
| 1437314465 | Kathleen Davenport | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021 | 2008-07-18 |
| Find all providers in the same location | ||||
| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205275716 | Joanne M Delgado Lebron | Physical Medicine & Rehabilitation | 3702 Washingon Street, Suite 303, Hollywood, FL 33021-8287 | 2013-06-18 |
| 1386755734 | Jay Sherman Mendelsohn | Physical Medicine & Rehabilitation | 3230 Stirling Rd, Suite #3, Hollywood, FL 33021 | 2006-08-31 |
| 1508867847 | Alan K Novick | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021 | 2005-08-09 |
| 1356700892 | Ian Miller | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2016-02-12 |
| 1508253477 | Andrew Chang | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2015-04-18 |
| 1578984266 | Broward Institute for Physical Rehabilitation, Inc. | Physical Medicine & Rehabilitation | 4600 Sheridan St, Suite 400, Hollywood, FL 33021-3409 | 2013-12-23 |
| 1750726378 | South Broward Hospital District | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2013-05-09 |
| 1144565623 | Integrated Family Wellness, Inc. | Physical Medicine & Rehabilitation | 2525 Embassy Dr, Suite 7, Hollywood, FL 33026-4573 | 2012-12-10 |
| 1225331531 | Jeremy Allen Jacobs | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021 | 2010-12-08 |
| 1396997904 | Universal Physical Medicine Associates Inc | Physical Medicine & Rehabilitation | 3501 Johnson St, Hollywood, FL 33021-5421 | 2008-10-14 |
| 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.