SUSAN SARUKA DEMAR (NPI# 1912180522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912180522 |
| Entity Type | Individual |
| Full Name | SUSAN SARUKA DEMAR |
| Credential | P.A.-C |
| Practice Address |
7101 W Mcnab Rd Ste 101 Tamarac FL 33321-5351 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 9547225600 |
| Practice Fax Number | 8552522845 |
| Mailing Telephone | 3055002000 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9104299 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7101 W MCNAB RD STE 101 |
| City | TAMARAC |
| State | FL |
| Zip Code | 33321-5351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871573840 | Gerardo Alberto Valdes | Internal Medicine | 7101 W Mcnab Rd Ste 101, Tamarac, FL 33321-5351 | 2006-01-18 |
| 1710429485 | Fabrina Gilot-gousse | Nurse Practitioner | 7101 W Mcnab Rd Ste 101, Tamarac, FL 33321-5351 | 2016-11-13 |
| 1932453826 | Jauder Diaz | Nurse Practitioner | 7101 W Mcnab Rd Ste 101, Tamarac, FL 33321-5351 | 2012-10-31 |
| 1942588025 | Soett Ramirez-estrada | Family Medicine | 7101 W Mcnab Rd Ste 101, Tamarac, FL 33321-5351 | 2011-07-24 |
| 1821282211 | Awilda M Pena- Jimenez | Internal Medicine | 7101 W Mcnab Rd Ste 101, Tamarac, FL 33321-5351 | 2007-08-29 |
| 1518981885 | Barbara Martin | Internal Medicine | 7101 W Mcnab Rd Ste 101, Tamarac, FL 33321-5351 | 2006-07-27 |
| 1295797645 | Ildefonso Gomez | Internal Medicine | 7101 W Mcnab Rd Ste 101, Tamarac, FL 33321-5351 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565146 | Rx Care 17 LLC | Pharmacy | 7142 N. University Drive, Tamarac, FL 33321 | 2020-07-08 |
| 1588204333 | Md Now Medical Centers Inc | Clinic/Center | 5817 N University Dr, Tamarac, FL 33321 | 2020-01-09 |
| 1992356919 | Ideal Smiles Dental Care | Clinic/Center | 6536 N. University Drive, Tamarac, FL 33321 | 2019-09-20 |
| 1447725551 | Keron Andrea Lee Cameron | Nurse Practitioner | 7961 Nw 90th Ave, Tamarac, FL 33321 | 2018-10-05 |
| 1134603681 | Sandra Julieth Gomez | Behavior Technician | 2865 Sw 16th Street Apt 1, Fort Lauderdale, FL 33321 | 2018-09-20 |
| 1396244646 | Coral Springs Hyperberic Oxygen and Wound Care Center LLC | Clinic/Center | 8333 W Mcnab, 107, Tamarac, FL 33321 | 2018-02-01 |
| 1124542741 | Franklyn Internal Medicine, LLC | Hospitalist | 7201 North University Dr, Tamarac, FL 33321 | 2017-07-26 |
| 1144742792 | Luz Natalia Franco Taveras | Dentist | 7300 W Mcnab Rd Ste 115, Tamarac, FL 33321 | 2017-07-14 |
| 1154861185 | Judith Ann Jacobs | Marriage & Family Therapist | 8400 N University Dr Ste 209, Tamarac, FL 33321 | 2017-02-23 |
| 1326584970 | Nelly Foeman | Behavior Technician | 5959 Royal Way, Tamarac, FL 33321 | 2017-01-06 |
| Find all providers in zip 33321 | ||||
| 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 |
|---|---|---|---|---|
| 1023648177 | Trisoni Miller | Physician Assistant | 7906 Nw 73rd Ter, Tamarac, FL 33321-4806 | 2020-01-16 |
| 1780143206 | Farihah Khan | Physician Assistant | 4433 Nw 48th Ter, Tamarac, FL 33319-3600 | 2019-03-14 |
| 1871065920 | Leeann Darden Muncy | Physician Assistant | 7401 N University Dr Ste 206, Tamarac, FL 33321-2934 | 2018-12-28 |
| 1780168724 | Alexandria Jozy Flaherty | Physician Assistant | 7351 W Oakland Park Blvd Ste 101, Tamarac, FL 33319-7107 | 2018-09-15 |
| 1144703380 | Natalee T Mckay | Physician Assistant | 8108 Prestige Commons Dr, Tamarac, FL 33321-1302 | 2018-09-13 |
| 1689170383 | Nicole Montalbano | Physician Assistant | 7481 W Oakland Park Blvd Ste 205, Tamarac, FL 33319-4943 | 2018-04-02 |
| 1548532559 | Satie Kallicharan | Physician Assistant | 7401 N. University Drive, Suite 105, Tamarac, FL 33321-2933 | 2012-02-07 |
| 1699938399 | Nora Zapata | Physician Assistant | 5409 N State Road 7, Tamarac, FL 33319-2921 | 2008-07-03 |
| 1356371611 | Tara Wiggins-jones | Physician Assistant | 6610 N University Dr, Suite 120, Tamarac, FL 33321-4034 | 2006-07-03 |
| 1770103632 | Jordan Leigh Shireman | Physician Assistant | 5870 Hiatus Rd Ste 200, Tamarac, FL 33321-6424 | 2020-04-21 |
| Find all providers in TAMARAC | ||||
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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.