BROOKE LAINE (NPI# 1811357064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811357064 |
| Entity Type | Individual |
| Full Name | BROOKE LAINE |
| Practice Address |
1500 N University Dr Ste 112 Coral Springs FL 33071-6071 |
| Mailing Address |
4410 Sheridan St Ste A Hollywood FL 33021-3553 |
| Practice Telephone | 9543463120 |
| Mailing Telephone | 6097075898 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9109054 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 N UNIVERSITY DR STE 112 |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33071-6071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285755405 | Zannis Family Medical Center Inc | Family Medicine | 1500 N University Dr Ste 112, Coral Springs, FL 33071-6071 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033791 | Wendy Beth Heidkamp | Pharmacist | 8231 Nw 6th Court, Coralsprings, FL 33071 | 2020-08-17 |
| 1265041420 | Shashera Pringle | Nurse Practitioner | 10948 Nw 3rd Street, Coral Springs, FL 33071 | 2020-07-23 |
| 1568084580 | Redsky Solutions, Inc. | Non-emergency Medical Transport (VAN) | 695 Nw 100th Ln, Coral Springs, FL 33071 | 2020-05-13 |
| 1578112991 | Dr G's Pharmacy, Inc | Pharmacy | 2224 N. University Drive, Coral Springs, FL 33071 | 2019-09-09 |
| 1366935447 | Nonye Gali | Occupational Therapy Assistant | 9017 Nw 19th St, Coral Springs, FL 33071 | 2018-06-12 |
| 1255855151 | Elisabet Stumper | Speech-Language Pathologist | 1313 Nw 100th Drive, Coral Springs, FL 33071 | 2017-08-01 |
| 1578093175 | Make It Happen Nursing, LLC | Nursing Care | 8835 Nw 3rd Court, Coral Springs, FL 33071 | 2017-06-15 |
| 1023547304 | Steven Quanhien Thach | Physical Therapist | 2043 N University Dr., Coral Springs, FL 33071 | 2017-06-08 |
| 1083063945 | Health Care Clinic At Walgreens | Clinic/Center | 1724 Nw 126th Dr, Coral Springs, FL 33071 | 2016-06-10 |
| 1902285703 | J&j Comprehensive Medical Care LLC | Internal Medicine | 1505 N. University Drive, Suite 400, Coral Springs, FL 33071 | 2015-05-26 |
| Find all providers in zip 33071 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1235529314 | Jacquelyn Bernstein | Physician Assistant | 5415 Nw 122nd Dr, Coral Springs, FL 33076-3639 | 2015-01-28 |
| 1497156160 | Natalia Harvey | Physician Assistant | 3100 Coral Hills Dr Ste 303, Coral Springs, FL 33065-4138 | 2014-09-11 |
| 1811275902 | Valentina Shtefan | Physician Assistant | 4376 N Sr 7, Suite 129, Coral Springs, FL 33073 | 2011-07-24 |
| 1316931108 | Angela Mesa-taylor | Physician Assistant | 9120a Wiles Rd, Coral Springs, FL 33067-1993 | 2005-09-07 |
| 1982097846 | Linda Calderon | Physician Assistant | 5850 Coral Ridge Dr Ste 106, Coral Springs, FL 33076-3379 | 2015-03-16 |
| 1396161519 | Amanda Jeanne O'loughlin | Physician Assistant | 1725 N University Dr, Ste #400, Coral Springs, FL 33071-6089 | 2014-03-12 |
| 1407120272 | William Daniel Correal | Physician Assistant | 700 Riverside Dr, Coral Springs, FL 33071-7008 | 2012-02-26 |
| 1083944797 | Kimberly Wroblewski | Physician Assistant | 6240 Coral Ridge Dr, Suite 105, Coral Springs, FL 33076-3389 | 2009-12-31 |
| 1932347796 | Jessica Offir | Physician Assistant | 6240 Coral Ridge Dr Ste 105, Coral Springs, FL 33076-3390 | 2009-01-30 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33071 |
Please comment or provide details below to improve the information on BROOKE LAINE.
| 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.