MS. FANNY POLYDOROFF (NPI# 1942705330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942705330 |
| Entity Type | Individual |
| Full Name | MS. FANNY POLYDOROFF |
| Practice Address |
1201 N.w. 16th Street Miami FL 33125 |
| Mailing Address |
841 Tangier Street Coral Gables FL 33134 |
| Practice Telephone | 3055757000 |
| Mailing Telephone | 2398983089 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0100X |
Registered Nurse Specialization: Gastroenterology |
9224472 | FL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | JOB | 2398983089 | 01 |
| Street Address |
1201 N.W. 16TH STREET |
| City | MIAMI |
| State | FL |
| Zip Code | 33125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619984135 | Jeannie Elizabeth Cipolla-vanscyco | Social Worker | 1201 N.w. 16th Street, Miami, FL 33125 | 2006-08-01 |
| 1689885006 | Johannie Melendez | Pharmacist | 1201 N.w. 16th Street, Miami, FL 33179 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1548872971 | Easter Seals South Florida, Inc. | Home Health | 1475 Nw 14 Ave, Miami, FL 33125 | 2020-08-18 |
| 1295368991 | Stellar Alf II LLC | Assisted Living Facility | 3055 N.w. Flagler Terr., Miami, FL 33125 | 2020-02-20 |
| 1841773546 | Enmanuel Alejandro Iglesias | Speech-Language Pathologist | Thera-pro Care,llc 888 Nw 27 Avenue, Suite 5, Miami, FL 33125 | 2018-09-10 |
| 1588158117 | Josefina Cammarano De Casas | Behavior Technician | 720 Nw 19th Ct., Miami, FL 33125 | 2018-06-18 |
| 1861984262 | Patricia Gabbidon | Audiologist | 1201 Nw 16th St Rm 2a151, Miami, FL 33125 | 2018-05-31 |
| 1154829471 | Iviana Tamara Farinas | Nurse Practitioner | 1951 Nw 7th Street, Miami, FL 33125 | 2018-02-01 |
| 1316452634 | Dayana A Perez Del Pozo | Physical Therapy Assistant | 1422 Nw 7th Street, Marlins Park Third Base Entrance, Miami, FL 33125 | 2017-12-08 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| 1609398247 | Yaremi Ramirez | Behavioral Analyst | 2145 Nw 13th St, Miami, FL 33125 | 2017-07-14 |
| Find all providers in zip 33125 | ||||
| Taxonomy Code | 163WG0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gastroenterology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386147338 | Rose Charles | Registered Nurse | 701 Ne 153rd St, Miami, FL 33162-5230 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821577313 | Janet Mason | Registered Nurse | 857 Brookfield Pl, Apopka, FL 32712-4860 | 2018-08-07 |
| 1104231570 | Lawrence Green | Registered Nurse | 6509 Nw 105th Ave, Alachua, FL 32615-7448 | 2014-06-24 |
| 1730727199 | Andrew Hinckley | Registered Nurse | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2019-12-17 |
| 1659922680 | Fibronostics Us, Inc. | Registered Nurse | 3452 Lake Lynda Dr, Orlando, FL 32817-1430 | 2019-09-20 |
| 1811363609 | Brandi Parker | Registered Nurse | 6500 W Newberry Rd, Gainesville, FL 32605-4309 | 2015-08-14 |
| 1265739866 | Judy Marie Shirley | Registered Nurse | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2011-02-16 |
| 1902061948 | Susan Berardino | Registered Nurse | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2008-07-18 |
| 1164687141 | Barbara Ann Bonham | Registered Nurse | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2008-07-18 |
| 1033319736 | Jennifer G Robinette | Registered Nurse | 2407 Ruth Hentz Ave, Panama City, FL 32405-2259 | 2007-07-20 |
| 1104945120 | Leslie Rachel Mcrae-matthews | Registered Nurse | 5201 Raymond St, Orlando, FL 32803-8208 | 2007-03-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. FANNY POLYDOROFF.
| 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.