JELENA PETKOVIC (NPI# 1801916127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801916127 |
| Entity Type | Individual |
| Full Name | JELENA PETKOVIC |
| Credential | PA |
| Practice Address |
1441 Brickell Ave Suite 300 Miami FL 33131-3425 |
| Mailing Address |
1900 Sunset Harbor Dr # 1115 Miami Beach FL 33139 |
| Practice Telephone | 3056240009 |
| Practice Fax Number | 3053731175 |
| Mailing Telephone | 3056240009 |
| Mailing Fax Number | 3053731175 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9103145 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1441 BRICKELL AVE SUITE 300 |
| City | MIAMI |
| State | FL |
| Zip Code | 33131-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992726186 | Adonis Maiquez | Family Medicine | 1441 Brickell Ave, # 3rd Floor Sky Lobby, Miami, FL 33131-3439 | 2006-07-22 |
| 1609140904 | Matthew Ivan Rusilko | General Practice | 1441 Brickell Ave, Miami Institute Four Seasons Sky Lobby, Miami, FL 33131 | 2012-03-05 |
| 1205008745 | Nu Institute for Age Managment | Surgery | 1441 Brickell Ave, 3rd Floor Sky Lobby, Miami, FL 33131-3439 | 2008-03-25 |
| 1548380322 | Robert L Simons | Plastic Surgery | 1441 Brickell Ave, Suite 300, Miami, FL 33131-3425 | 2007-03-29 |
| 1225158090 | Julio F Gallo | Plastic Surgery | 1441 Brickell Ave, Suite 300, Miami, FL 33131-3425 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144873407 | Agency for Vital Services LLC | Home Health | 200 S Biscayne Blvd., Suite 2790, Miami, FL 33131 | 2019-07-16 |
| 1245700806 | Yang Yin Therapy LLC | Counselor | 601 Brickell Key Drive Suite 728, Miami, FL 33131 | 2018-11-27 |
| 1972029304 | Lelibet Diaz Lemus | Assistant Behavior Analyst | 218 Se 14th St Apt 1504, Miami, FL 33131 | 2017-08-17 |
| 1235668617 | Chloe Cavayero | Behavioral Analyst | 801 Brickell Key Dr., Unit 2007, Miami, FL 33131 | 2017-06-08 |
| 1477093888 | Dr. Mayra Burguera, Psy.d., P.a. | Psychologist | 1110 Brickell Ave Ste 407, Miami, FL 33131 | 2017-03-03 |
| 1871942920 | Angela Mcmullin | Dentist | 951 Brickell Avenue, 3310, Miami, FL 33131 | 2016-06-09 |
| 1851765499 | Kristen Rollman | Behavioral Analyst | 340 Se 3rd St Apt 3109, Miami, FL 33131 | 2015-11-19 |
| 1063804177 | Jose H Caraballo | Social Worker | 1450 Brickell Bay Dr Apt 1002, Miami, FL 33131 | 2015-02-26 |
| 1619371531 | Carolina Botero | Substance Abuse Rehabilitation Facility | 169 E Flagler St Suite 1300, Miami, FL 33131 | 2014-10-21 |
| 1285984773 | Dr Jayson Milner, LLC | Chiropractor | 1390 Brickell Avenue, #310, Miami, FL 33131 | 2012-09-12 |
| Find all providers in zip 33131 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003178 | Mohammed Bilal Sheikh | Physician Assistant | 2920 Ne 207th St Ste 901, Miami, FL 33180-1444 | 2020-11-04 |
| 1043820889 | Dave Norman Caldera Jr. | Physician Assistant | 5440 Sw 150th Ct, Miami, FL 33185-4012 | 2020-08-06 |
| 1003432063 | Nicole Marlene Socarras | Physician Assistant | 8585 Sunset Dr Ste 108, Miami, FL 33143-3746 | 2020-06-24 |
| 1245854504 | Laurent Augustin | Physician Assistant | 15608 Sw 112th Dr, Miami, FL 33196-4391 | 2020-06-02 |
| 1780213363 | Amanda C. Fisher | Physician Assistant | 175 Sw 7th St Ste 24082409, Miami, FL 33130-2992 | 2020-04-06 |
| 1184258279 | Ryan Walker | Physician Assistant | 175 Sw 7th St Ste 1100, Miami, FL 33130-2951 | 2020-02-27 |
| 1033749015 | Christy Anne Perez | Physician Assistant | 41 Se 5th St Apt 2215, Miami, FL 33131-2550 | 2020-01-18 |
| 1689204729 | Nathali Eiranova | Physician Assistant | 14735 Sw 36th Ter, Miami, FL 33185-3913 | 2020-01-16 |
| 1649810623 | Jeanine Marie Cuervo | Physician Assistant | 15543 Sw 55th Ter, Miami, FL 33185-4176 | 2020-01-08 |
| 1649814930 | Danette Blanco | Physician Assistant | 3930 Nw 2nd St, Miami, FL 33126-5712 | 2019-10-30 |
| Find all providers in MIAMI | ||||
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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.