DANIEL V MOCK (NPI# 1669920880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669920880 |
| Entity Type | Individual |
| Full Name | DANIEL V MOCK |
| Credential | MSN, ARNP, AGACNP-BC |
| Practice Address |
3001 Nw 49th Ave Suite 104 Lauderdale Lakes FL 33313-7266 |
| Practice Telephone | 9547392273 |
| Mailing Telephone | 9547392273 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2017-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP9311528 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9311528 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3001 NW 49TH AVE SUITE 104 |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33313-7266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508842493 | Alan Borenstein | Psychiatry & Neurology | 3001 Nw 49th Ave, Suite 204, Lauderdale Lakes, FL 33313-7266 | 2005-12-21 |
| 1962892042 | Patricia M Martindale Md Pa | Internal Medicine | 3001 Nw 49th Ave, Ste 204, Lauderdale Lakes, FL 33313-7266 | 2015-01-28 |
| 1639478571 | Marshall J. Brumer, Md, Pa | Internal Medicine | 3001 Nw 49th Ave, Suite 307, Lauderdale Lakes, FL 33313-7266 | 2011-03-17 |
| 1033443254 | Tenet Florida Physician Services, LLC | Orthopaedic Surgery | 3001 Nw 49th Ave, Ste 301, Lauderdale Lakes, FL 33313-7266 | 2009-09-21 |
| 1871749150 | Matthew L. Carr, M.d. | Nurse Practitioner | 3001 Nw 49th Ave, Suite 100, Lauderdale Lakes, FL 33313-7266 | 2008-08-18 |
| 1447416003 | Fawwaz Jaffer Mohiuddin | Orthopaedic Surgery | 3001 Nw 49th Ave, Suite 104, Lauderdale Lakes, FL 33313-7266 | 2008-08-04 |
| 1942477823 | Juan Camilo Velasquez | Internal Medicine | 3001 Nw 49th Ave, Suite 104, Lauderdale Lakes, FL 33313-7266 | 2008-05-10 |
| 1306019435 | Drs Carr and Ghitis Pl | Internal Medicine | 3001 Nw 49th Ave, Suite 100, Lauderdale Lakes, FL 33313-7266 | 2008-04-09 |
| 1992980007 | Amy Diane Waxman | Nurse Practitioner | 3001 Nw 49th Ave, Suite 100, Lauderdale Lakes, FL 33313-7266 | 2008-01-08 |
| 1427237759 | Walter M Fingerer Md Pa | Otolaryngology | 3001 Nw 49th Ave, Suite 207, Lauderdale Lakes, FL 33313-7266 | 2007-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003479189 | Stephanie Vietinghoff | Nurse Practitioner | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1585 | 2019-04-15 |
| 1770008211 | Elana Rachel Meair Brown | Nurse Practitioner | 5000 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-1503 | 2017-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629902 | Tara-kaye Clunis | Nurse Practitioner | 832 Nw 130th Ave, Pembroke Pines, FL 33028-3135 | 2020-11-06 |
| 1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
| 1730780354 | Mary Catherine Grissom | Nurse Practitioner | 2093 Appalachee Cir, Tavares, FL 32778-2001 | 2020-11-02 |
| 1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
| 1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
| 1669071668 | Karine Erica Cameron | Nurse Practitioner | 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 | 2020-10-21 |
| 1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
| 1891302469 | Shannon Bre Anna Watkins | Nurse Practitioner | 2937 Quantum Lakes Dr, Boynton Beach, FL 33426-8303 | 2020-09-28 |
| 1114534856 | Cristina Sandu | Nurse Practitioner | 19327 Elston Way, Estero, FL 33928-6489 | 2020-09-27 |
| 1215543590 | Kam Lieng Lady | Nurse Practitioner | 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
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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.