FT LAUDERDALE FIRST ASSIST, LLC (NPI# 1811175052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811175052 |
| Entity Type | Organization |
| Organization Name | FT LAUDERDALE FIRST ASSIST, LLC |
| Other Organization Name | FT LAUDERDALE FIRST ASSIST |
| Practice Address |
1600 Sarno Road Suite 15 Melbourne FL 32935 |
| Mailing Address |
214 Centerview Drive Suite 100 Brentwood TN 37027 |
| Practice Telephone | 8003484565 |
| Practice Fax Number | 3216105115 |
| Mailing Telephone | 6153455450 |
| Mailing Fax Number | 6153455365 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | MR. JEFFREY T GRAY (CFO & TREASURER) |
| Authorized Official Telephone | 6153455550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 3649 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
RN 3003202 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001019600 | 05 |
| Other Name | Type Code |
|---|---|
| Ft Lauderdale First Assist | Former Legal Business Name - Organization |
| Street Address |
1600 SARNO ROAD SUITE 15 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013097567 | Miami First Assist, LLC | Physician Assistant | 1600 Sarno Road, Suite 15, Melbourne, FL 32935 | 2006-10-17 |
| 1144516725 | Annette P. Soldini | Counselor | 1600 Sarno Road, Suite 12, Melbourne, FL 32935 | 2011-06-22 |
| 1053647982 | Palm Beach First Assist, LLC | Physician Assistant | 1600 Sarno Road, Suite 15, Melbourne, FL 32935 | 2009-10-28 |
| 1952597452 | Surgical Assist Management, LLC | Physician Assistant | 1600 Sarno Road, Suite 15, Melbourne, FL 32935 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063934123 | Dorene Mary Mccoy | Clinical Nurse Specialist | 9981 S Healthpark Dr Ste 156, Fort Myers, FL 33908-3618 | 2017-07-11 |
| 1104256775 | Yunet Saez | Clinical Nurse Specialist | 681 Sw Port St. Lucie Blvd, Port St. Lucie, FL 34953 | 2013-11-19 |
| 1073779815 | Felicia Quinn | Clinical Nurse Specialist | 7329 Smithbrooke Dr, Lake Worth, FL 33467-7203 | 2008-07-31 |
| 1477187169 | Alexandra Rae Phelps | Clinical Nurse Specialist | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919-8758 | 2020-03-03 |
| 1548773005 | Sharon Dyan Moreland | Clinical Nurse Specialist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2017-11-07 |
| 1639612492 | Suzie L Willis | Clinical Nurse Specialist | 8380 Riverwalk Park Blvd, Suite 100, Fort Myers, FL 33919-8758 | 2016-11-28 |
| 1154778470 | Janet Margaret Lightner | Clinical Nurse Specialist | 708 Del Prado Blvd S Ste 6, Cape Coral, FL 33990-2661 | 2016-05-17 |
| 1790161248 | Heather Masse Haddock | Clinical Nurse Specialist | 16230 Summerlin Rd, Suite 215, Fort Myers, FL 33908-5768 | 2015-08-07 |
| 1720403074 | Rhonda Renea Hendricks | Clinical Nurse Specialist | 708 S. Del Prado Blvd, Suite 1, Cape Coral, FL 33990-2676 | 2014-02-24 |
| 1437497401 | Rita A. Kelly | Clinical Nurse Specialist | 708 Del Prado Blvd S Ste 6, Cape Coral, FL 33990-2661 | 2013-01-24 |
| Find all providers with the same taxonomy | ||||
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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.