MERAKI MEDICAL CENTER LLC (NPI# 1740896281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740896281 |
| Entity Type | Organization |
| Organization Name | MERAKI MEDICAL CENTER LLC |
| Practice Address |
12565 Orange Dr Ste 401 Davie FL 33330-4305 |
| Practice Telephone | 9549987574 |
| Practice Fax Number | 9542514846 |
| Mailing Telephone | 9549987574 |
| Mailing Fax Number | 9542514846 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | LYDIA ARVELO (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9549987574 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
12565 ORANGE DR STE 401 |
| City | DAVIE |
| State | FL |
| Zip Code | 33330-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1508365982 | Sun Coast Recovery Ranch LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Rd, Southwest Ranches, FL 33330 | 2018-02-12 |
| 1487153441 | Everglades Physicians Alliance LLC | Internal Medicine | 4745 Volunteer Road, Suite 301, Davie, FL 33330 | 2018-02-06 |
| 1639689532 | Tariq Azeez | Occupational Therapy Assistant | 4301 S Flamingo Road #101, Davie, FL 33330 | 2017-10-05 |
| 1497129597 | Right Path Recovery, LLC | Substance Abuse Rehabilitation Facility | 4801 Hancock Road, Southwest Ranches, FL 33330 | 2015-11-30 |
| 1104202878 | Meghan Ashley Oswain | Occupational Therapist | 3141 Sw 118 Terrace, Davie, FL 33330 | 2015-08-05 |
| 1588075089 | Nicole Santiago | Respiratory Therapist, Registered | 5117 Sw 122nd Terrace, Cooper City, FL 33330 | 2014-05-19 |
| 1205180171 | Richard L. Sherman, D.d.s. | Dentist | 4725 Sw 148 Ave. Suite 203, Davie, FL 33330 | 2012-10-31 |
| 1952612996 | Vikram V Thakar | Podiatrist | 11302 Sw 55 St, Cooper City, FL 33330 | 2010-06-24 |
| 1376875344 | Carlos E. Spera, Md, Pa | Clinic/Center | 12575 Orange Drive #303, Davie, FL 33330 | 2010-02-02 |
| Find all providers in zip 33330 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255966511 | Amalia's Community Clinic, Corp | Family Medicine | 5400 S University Dr Ste 217, Davie, FL 33328-5310 | 2020-03-06 |
| 1386275840 | James Walter Lofton IIi | Family Medicine | 13935 S Cypress Cove Cir, Davie, FL 33325-6742 | 2020-02-03 |
| 1942830955 | Premier Health, Inc | Family Medicine | 11067 Garden Ridge Ct, Davie, FL 33328-7308 | 2020-01-17 |
| 1316401508 | Pushpa Njaravelil | Family Medicine | 5354 N Sterling Ranch Cir, Davie, FL 33314-7258 | 2019-01-22 |
| 1083185623 | Ynfp, LLC | Family Medicine | 4801 S University Dr Ste 107, Davie, FL 33328-3835 | 2018-12-07 |
| 1619425808 | Mireille Merisier | Family Medicine | 5909 S University Dr, Davie, FL 33328-6115 | 2016-09-15 |
| 1235282260 | Majorie Marrie Lewis | Family Medicine | 1590 Sw 139th Ave, Davie, FL 33325-6000 | 2007-01-21 |
| 1609823632 | Associates In Family Practice of Broward LLC | Family Medicine | 4780 Sw 64th Ave Ste 101, Davie, FL 33314 | 2006-05-27 |
| 1629026257 | Ajay Ved Sood | Family Medicine | 4301 S Flamingo Rd Ste 102, Davie, FL 33330-1902 | 2006-05-05 |
| 1124082987 | David Lee Berndt | Family Medicine | 5930 Sw 64th Ave, Davie, FL 33314-7116 | 2006-04-17 |
| 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.