DR. ALLA DUDELZAK (NPI# 1821144973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821144973 |
| Entity Type | Individual |
| Full Name | DR. ALLA DUDELZAK |
| Credential | MD |
| Practice Address |
200 Nw 7th Ave Fort Lauderdale FL 33311-9026 |
| Mailing Address |
1700 Nw 49th St Ste 125 Fort Lauderdale FL 33309-3750 |
| Practice Telephone | 9547596600 |
| Practice Fax Number | 9547596665 |
| Mailing Telephone | 9547596600 |
| Mailing Fax Number | 9547596665 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME89178 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000820600 | 05 |
| Street Address |
200 NW 7TH AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33311-9026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518491109 | Megan Ashlee Natalie | Nurse Practitioner | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2017-04-20 |
| 1386014843 | Nicole Aiello-luong | Dental Hygienist | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2015-09-28 |
| 1528455300 | Nadia Melba Alethia Cumberbatch | Family Medicine | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2015-04-20 |
| 1700272382 | Kristen Ashley Smith | Family Medicine | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2015-04-10 |
| 1861899346 | North Broward Hospital District | Obstetrics & Gynecology | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2014-11-26 |
| 1699175018 | Elisa Epstein | Dietitian, Registered | 200 Nw 7th Ave, Third Floor, Fort Lauderdale, FL 33311-9026 | 2014-09-04 |
| 1073856589 | North Browardhospital District | Clinic/Center | 200 Nw 7th Ave, Fort Lauderdale, FL 33311 | 2013-04-03 |
| 1699047324 | North Broward Hospital District | Social Worker | 200 Nw 7th Ave, Fort Lauderdale, FL 33311-9026 | 2012-01-26 |
| 1811925886 | North Broward Hospital District | Dentist | 200 Nw 7th Ave, Fort Lauderdale, FL 33311 | 2006-06-29 |
| 1972531945 | North Broward Hospital District | Dentist | 200 Nw 7th Ave, Fort Lauderdale, FL 33311 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1942769534 | Cbd Skeletal Solutions, LLC | Durable Medical Equipment & Medical Supplies | 630 Tennis Club Drive, Outerbridge - 407, Ft. Lauderdale, FL 33311 | 2019-03-14 |
| 1770049116 | Jordan Matthew Nodelman | Social Worker | 871 W Oakland Park Boulevard, Oakland Park, FL 33311 | 2019-02-11 |
| 1417422304 | Carebridge Home Health of Flrorida | Home Health | 1871 West Oakland Park Blvd, Suite E, Oakland Park, FL 33311 | 2018-10-08 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1477047058 | Latino Medical Center IIi | General Practice | 3670 W Oakland Blvd, Lauderdale Lakes, FL 33311 | 2018-06-18 |
| 1316442049 | Anita Fox | Non-emergency Medical Transport (VAN) | 2880 West Oakland Park Blvd, 234, Oakland Park, FL 33311 | 2018-03-26 |
| 1669995957 | Lola J Lewis-walker | Nurse Practitioner | 925 Nw 14th St, Fort Lauderdale, FL 33311 | 2017-07-19 |
| 1598294936 | Abigail D Garcia | Counselor | 713 Nw 1st Ave, Fort Lauderdale, FL 33311 | 2017-06-08 |
| 1548712524 | Hubert Faustin | Counselor | 1409 Nw 1st Avenue, Fort Lauderdale, FL 33311 | 2016-10-26 |
| Find all providers in zip 33311 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295129641 | Kristin Joann Biggie | Pediatrics | 5333 N Dixie Highway, Suite 106, Fort Lauderdale, FL 33334 | 2015-03-24 |
| 1326281510 | Kathryn Anne Birken-friedman | Pediatrics | 901 Cordova Rd, Fort Lauderdale, FL 33316-1451 | 2009-04-17 |
| 1073779724 | Brian David Udell | Pediatrics | 1401 S. Federal Hwy, Children's Diagnostic and Treatment Center, Fort Lauderdale, FL 33316-2619 | 2008-08-01 |
| 1346329349 | Lalit K Shah Md Pa | Pediatrics | 4725 North Federal Hwy, Nicu 2nd Floor Holy Cross Hospital, Fort Lauderdale, FL 33308-4603 | 2006-11-02 |
| 1659309698 | North Broward Hospital District | Pediatrics | 1625 Se 3 Avenue, Sutie 635, Fort Lauderdale, FL 33316 | 2006-06-29 |
| 1619905676 | North Broward Hospital District | Pediatrics | 2400 Nw 26 Street, Fort Lauderdale, FL 33311 | 2006-06-29 |
| 1316902430 | Ernesto Jose Blanco | Pediatrics | 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316-2521 | 2006-04-20 |
| 1225093347 | Nolan S Berman | Pediatrics | 2866 E Oakland Park Blvd Ste 2, Fort Lauderdale, FL 33306-1819 | 2006-04-20 |
| 1679538854 | Maria D. Barrueco-casariego | Pediatrics | 1401 South Federal Highway, Fort Lauderdale, FL 33316-2619 | 2006-04-19 |
| 1295799187 | Joselyn M Mateo | Pediatrics | 200 Nw 7 Avenue, Fort Lauderdale, FL 33311 | 2006-04-17 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33311 |
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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.