MRS. HEIDI ANN PANTOJA (NPI# 1639461254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639461254 |
| Entity Type | Individual |
| Full Name | MRS. HEIDI ANN PANTOJA |
| Other Name | HEIDI ANN RIDGE |
| Credential | NP-C |
| Practice Address |
5800 S University Dr Davie FL 33328-6102 |
| Mailing Address |
1382 Nw 104th Dr Coral Springs FL 33071-3900 |
| Practice Telephone | 9543770041 |
| Mailing Telephone | 7544844336 |
| Enumeration Date | 2011-05-15 |
| Last Update Date | 2011-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9264151 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5800 S UNIVERSITY DR |
| City | DAVIE |
| State | FL |
| Zip Code | 33328-6102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235151846 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 5800 S University Dr, Davie, FL 33328-6102 | 2006-07-24 |
| 1629546007 | Blinking Owl Eyecare LLC | Optometrist | 5800 S University Dr, Davie, FL 33328-6102 | 2018-11-05 |
| 1629451182 | Elyse Roelans | Nurse Practitioner | 5800 S University Dr, Davie, FL 33328-6102 | 2015-07-01 |
| 1255627170 | Elba Maria Ramirez | Pharmacist | 5800 S University Dr, T-2022, Davie, FL 33328-6102 | 2011-06-20 |
| 1548555428 | Stefka Stoyanova Savenkova | Pharmacist | 5800 S University Dr, Target Pharmacy T-2022, Davie, FL 33328-6102 | 2011-06-18 |
| 1205093051 | Melissa Mekella George | Nurse Practitioner | 5800 S University Dr, Davie, FL 33328-6102 | 2008-05-20 |
| 1093868739 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 5800 S University Dr, Davie, FL 33324-6102 | 2007-01-18 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1780296772 | Barnette Benoit | Nurse Practitioner | 5600 S Pine Island Rd, Davie, FL 33328-5935 | 2020-08-20 |
| 1295359362 | Lynda Odera | Nurse Practitioner | 14141 Glen Cove Pl, Davie, FL 33325-3066 | 2020-06-03 |
| 1487289047 | Samentha Sylvain | Nurse Practitioner | 2264 Nova Village Dr, Davie, FL 33317-7030 | 2020-03-04 |
| 1457991911 | Ben Roberts | Nurse Practitioner | 6974 Griffin Rd, Davie, FL 33314-4345 | 2020-01-13 |
| 1700423647 | Tiffany Alicia Young | Nurse Practitioner | 8012 Sw 22nd Ct, Davie, FL 33324-5513 | 2019-12-10 |
| 1497391239 | Yessenia Urrutia Becraft | Nurse Practitioner | 6010 Reese Rd Apt 406, Davie, FL 33314-1225 | 2019-11-26 |
| 1013559814 | Alexa Bock | Nurse Practitioner | 6400 Olde Moat Way, Davie, FL 33331-3427 | 2019-10-13 |
| 1457903049 | Aam Quality Services, Corp. | Nurse Practitioner | 6611 Falconsgate Ave, Davie, FL 33331-2933 | 2019-07-12 |
| 1205308376 | Marion Marie Codling | Nurse Practitioner | 8311 Sw 44th Pl, Davie, FL 33328-2972 | 2018-12-29 |
| 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.