VIVIAN BILASANO MD LLC (NPI# 1639559750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639559750 |
| Entity Type | Organization |
| Organization Name | VIVIAN BILASANO MD LLC |
| Other Organization Name | BCK PRIMECARE |
| Practice Address |
1951 Sw 172nd Ave Suite312 Miramar FL 33029-5593 |
| Practice Telephone | 9543207999 |
| Practice Fax Number | 9543207601 |
| Mailing Telephone | 9543207999 |
| Mailing Fax Number | 9543207601 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2016-01-29 |
| Authorized Official Name | DR. VIVIAN BILASANO (MANAGER) |
| Authorized Official Telephone | 9543207999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME 77619 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257505100 | 05 | |
| NPI | 1821002825 | 01 | |
| FL | NPI | 1316140262 | 01 |
| FL | 001237900 | 05 |
| Other Name | Type Code |
|---|---|
| BCK PrimeCARE | Doing Business As Name - Organization |
| Street Address |
1951 SW 172ND AVE SUITE312 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33029-5593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660757 | Jay Stuart Gottlieb | Dermatology | 1951 Sw 172nd Ave, Ste 416, Miramar, FL 33029-5615 | 2005-06-22 |
| 1548752488 | Leslie Allison Lewis | Registered Nurse | 1951 Sw 172nd Ave, Miramar, FL 33029 | 2018-06-06 |
| 1841741790 | Jeanette Hernandez | Midwife | 1951 Sw 172nd Ave, Miramar, FL 33029-5593 | 2016-10-16 |
| 1912450289 | Gousse Urology, LLC | Urology | 1951 Sw 172nd Ave, Suite 305, Miramar, FL 33029-5593 | 2016-08-03 |
| 1700251709 | Alice Batraville | Nurse Practitioner | 1951 Sw 172nd Ave, Ste 309, Miramar, FL 33029 | 2015-12-02 |
| 1922487636 | Blue Water Pain Solutions, Pa | Anesthesiology | 1951 Sw 172nd Ave, Suite 212, Miramar, FL 33029-5593 | 2015-05-27 |
| 1255710604 | New Day Ob Gyn LLC | Clinic/Center | 1951 Sw 172nd Ave, Suite 315, Miramar, FL 33029-5593 | 2015-05-19 |
| 1407253594 | Comprehensive Womens Center Corp | Obstetrics & Gynecology | 1951 Sw 172nd Ave, Suite 301, Miramar, FL 33029-5593 | 2014-12-04 |
| 1316352545 | Blue Water Pain Solutions, Pa | Anesthesiology | 1951 Sw 172nd Ave, Suite 314, Miramar, FL 33029-5593 | 2014-06-26 |
| 1851705735 | Ashley Pardue-gomez | Nurse Practitioner | 1951 Sw 172nd Ave, 416, Miramar, FL 33029-5593 | 2014-06-18 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
| 1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
| 1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
| 1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
| 1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
| 1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
| 1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
| 1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
| 1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
| 1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
| Find all providers in zip 33029 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326680968 | Las Marias Health and Wellness | Clinic/Center | 15071 Sw 49th Ct, Miramar, FL 33027-3600 | 2019-10-15 |
| 1669915351 | Michelle Joseph Isma | Clinic/Center | 3857 Sw 170th Ave, Miramar, FL 33027-4623 | 2016-11-29 |
| 1528515210 | Denise Montfleury | Clinic/Center | 5160 Sw 158th Ave, Miramar, FL 33027-5610 | 2016-09-09 |
| 1972904027 | Nelson Family Group | Clinic/Center | 8532 Beekman Drive, Miramar, FL 33025 | 2014-09-09 |
| 1235497298 | Memorial Physician Group- Christopher Ramsaran, Md | Clinic/Center | 12781 Miramar Pkwy Ste 202, Miramar, FL 33027-2908 | 2012-04-27 |
| 1356556443 | William E. Sanchez, Md Pa | Clinic/Center | 17429 Sw 54th St, Miramar, FL 33029-5068 | 2007-05-11 |
| 1689731432 | Dr Joan Lyn Family Medicine P A | Clinic/Center | 6488 Sw 25th St, Miramar, FL 33023-2800 | 2007-01-02 |
| 1053472019 | Pediatrics Pa | Clinic/Center | 3220 S Douglas Rd Ste B, Miramar, FL 33025-2734 | 2006-12-13 |
| 1104436948 | Bless Medical Center Hollywood LLC | Clinic/Center | 6448 Pembroke Rd, Miramar, FL 33023-2138 | 2020-08-06 |
| 1295164648 | Ivana V Obradovic Od Pa | Clinic/Center | 1900 S University Dr, Miramar, FL 33025-2230 | 2013-11-06 |
| Find all providers in MIRAMAR | ||||
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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.