MRS. ERIN LYNN BROUILLARD (NPI# 1639484181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639484181 |
| Entity Type | Individual |
| Full Name | MRS. ERIN LYNN BROUILLARD |
| Credential | PA-C |
| Practice Address |
9400 Bonita Beach Rd Se Bonita Springs FL 34135-4520 |
| Practice Telephone | 2399925444 |
| Practice Fax Number | 2399921315 |
| Mailing Telephone | 2399925444 |
| Mailing Fax Number | 2399921315 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9101960 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9400 BONITA BEACH RD SE |
| City | BONITA SPRINGS |
| State | FL |
| Zip Code | 34135-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184668618 | Juan Zapata | Internal Medicine | 9400 Bonita Beach Rd Se, Suite 101, Bonita Springs, FL 34135-4520 | 2006-06-15 |
| 1033719430 | Florida Pain and Rehabilitation Institute Inc | Pain Medicine | 9400 Bonita Beach Rd Se, Bonita Springs, FL 34135-4520 | 2020-10-27 |
| 1316319221 | Millennium Physician Group LLC | Durable Medical Equipment & Medical Supplies | 9400 Bonita Beach Rd Se, Ste. 101, Bonita Springs, FL 34135-4520 | 2015-10-30 |
| 1598065542 | American Radiology Services Banyan Center, LLC | Radiology | 9400 Bonita Beach Rd Se, Suite 201, Bonita Springs, FL 34135-4520 | 2010-10-25 |
| 1215070776 | Imed Diagnostic Services of Bonita Springs LLC | Clinic/Center | 9400 Bonita Beach Rd Se, Suite 201, Bonita Springs, FL 34135-4515 | 2007-02-15 |
| 1124106745 | Shawn B Miller | Internal Medicine | 9400 Bonita Beach Rd Se, Suite 101, Bonita Springs, FL 34135-4515 | 2006-11-01 |
| 1104901586 | Redi Med of Bonita Springs LLC | Internal Medicine | 9400 Bonita Beach Rd Se, Suite 101, Bonita Springs, FL 34135-4515 | 2006-10-26 |
| 1477651420 | Michael A Mayhew | Physician Assistant | 9400 Bonita Beach Rd Se, Suite 101, Bonita Springs, FL 34135-4520 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022051 | Td Dental Group LLC | Clinic/Center | 28410 Crossing Blvd, Suit 230, Bonita Springs, FL 34135 | 2020-08-04 |
| 1619591096 | Lucinda Zagnoli | Counselor | 3501 Health Center Blvd Suite 2140, Bonita Springs, FL 34135 | 2020-06-02 |
| 1124649512 | Samantha S Wadas | Occupational Therapist | Solaris Rehab, LLC, 9520 Bonita Beach Rd Se, Bonita Springs, FL 34135 | 2020-04-27 |
| 1245710409 | Carrie Silverman | Hearing Instrument Specialist | 8951 Bonita Beach Rd Se Ste 240, Bonita Springs, FL 34135 | 2018-08-17 |
| 1124513593 | Lee Memorial Health System | Pharmacy | 23450 Via Coconut Point, Estero, FL 34135 | 2018-06-27 |
| 1801303540 | Lee Tasha Perez | Acupuncturist | 8840 Terrene Ct Ste 101, Bonita Springs, FL 34135 | 2018-01-03 |
| 1164942686 | Mind/mood Counseling & Coaching Centers of Swfl, Pllc | Community/Behavioral Health | 9990 Coconut Road, Attn. Emily - Bes Manager, Bonita Springs, FL 34135 | 2017-06-26 |
| 1699295691 | Alfa Brothers Group | Durable Medical Equipment & Medical Supplies | 28161 Pine Haven Way, Apt 135, Bonita Springs, FL 34135 | 2017-06-21 |
| 1992257919 | Lillian Mary Catherine Lienhardt | Physician Assistant | 27390 Tennesse Street, Bonita Springs, FL 34135 | 2016-10-25 |
| 1104277623 | American Spine & Orthopeadic Institute, LLC | Orthopaedic Surgery | 3501 Health Center Blvd Ste 2430, Bonita Springs, FL 34135 | 2016-06-27 |
| Find all providers in zip 34135 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992257919 | Lillian Mary Catherine Lienhardt | Physician Assistant | 27390 Tennesse Street, Bonita Springs, FL 34135 | 2016-10-25 |
| 1386196426 | Gina Petracco | Physician Assistant | 25987 S Tamiami Trl Ste 90, Bonita Springs, FL 34134-7810 | 2016-10-25 |
| 1295843498 | Marlee Vause | Physician Assistant | 9510 Bonita Beach Road, Suite 101, Bonita Springs, FL 34135 | 2006-08-28 |
| 1215362884 | Lisa Montgomery Browning | Physician Assistant | 9240 Bonita Beach Rd Se Ste 1106, Bonita Springs, FL 34135 | 2013-09-13 |
| 1396977419 | Janalea Kristin Thomas | Physician Assistant | 9776 Bonita Beach Rd Se, Suite 102, Bonita Springs, FL 34135-4773 | 2009-08-24 |
| 1477634111 | Janis K Dolan | Physician Assistant | 9240 Bonita Beach Rd Se, Suite 1106, Bonita Springs, FL 34135-4249 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | BONITA SPRINGS |
| Zip Code | 34135 |
Please comment or provide details below to improve the information on MRS. ERIN LYNN BROUILLARD.
| 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.