MR. CHULOU HITOSIS PENALES (NPI# 1962751784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962751784 |
| Entity Type | Individual |
| Full Name | MR. CHULOU HITOSIS PENALES |
| Credential | ARNP |
| Practice Address |
5420 Nw 33rd Ave Fort Lauderdale FL 33309-6348 |
| Mailing Address |
5476 Queenship Ct Greenacres FL 33463-5969 |
| Practice Telephone | 9544864085 |
| Mailing Telephone | 7194062133 |
| Mailing Fax Number | 5614506716 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN 9295519 | FL | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ARNP 9295519 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5420 NW 33RD AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309-6348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780637082 | Caresouth Hha Holdings of The Sunshine Coast LLC | Home Health | 5420 Nw 33rd Ave, Suite 109, Fort Lauderdale, FL 33309-6348 | 2006-05-18 |
| 1720638273 | Andrea Marie Mekulik | Nurse Practitioner | 5420 Nw 33rd Ave, Fort Lauderdale, FL 33309-6348 | 2019-09-17 |
| 1194932244 | Douglas W David | Family Medicine | 5420 Nw 33rd Ave, Suite 100, Fort Lauderdale, FL 33309-6348 | 2007-05-17 |
| 1275758658 | Joel Arthur Coplowitz | Internal Medicine | 5420 Nw 33rd Ave, Suite 100, Fort Lauderdale, FL 33309-6348 | 2007-04-13 |
| 1225252273 | Jay Bennett Peitzer | Internal Medicine | 5420 Nw 33rd Ave, Suite 100, Fort Lauderdale, FL 33309-6348 | 2007-04-12 |
| 1821212861 | Paul Louis Rozynes | Internal Medicine | 5420 Nw 33rd Ave, Suite 100, Fort Lauderdale, FL 33309-6348 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708015 | Marvel Lucretia Grant | Nurse Practitioner | 6600 Nw 34th Ave, Fort Lauderdale, FL 33309-1225 | 2020-07-23 |
| 1184269649 | Davina Lamar Frei | Nurse Practitioner | 4801 N Federal Hwy Ste 200, Fort Lauderdale, FL 33308-4618 | 2019-11-08 |
| 1619415924 | Antoinette Battle | Nurse Practitioner | 3470 Sw 19th Street, Fort Lauderdale, FL 33312 | 2017-02-07 |
| 1356795686 | Jessica Caridad Gomez | Nurse Practitioner | 701 Ne 59th Ct, Fort Lauderdale, FL 33334-3555 | 2016-04-23 |
| 1295345825 | Ashley Candelora | Nurse Practitioner | 5216 N Federal Hwy, Fort Lauderdale, FL 33308-3202 | 2020-08-07 |
| 1750880506 | Annie Daniel | Nurse Practitioner | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2018-02-07 |
| 1942727979 | Samantha Lyndi Molina | Nurse Practitioner | 4725 N Federal Highway, Advanced Cardiac Therapeutics, Fort Lauderdale, FL 33308 | 2017-08-30 |
| 1013453570 | Holly Hazelett | Nurse Practitioner | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2017-01-09 |
| 1134670912 | Vivian Carolina Thomas | Nurse Practitioner | 2307 W Broward Blvd Ste 100, Fort Lauderdale, FL 33312-1420 | 2016-10-17 |
| 1558766535 | Cherise Williams | Nurse Practitioner | 1995 E Oakland Park Blvd Ste 310, Fort Lauderdale, FL 33306-1138 | 2014-11-03 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on MR. CHULOU HITOSIS PENALES.
| 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.