KELLY MARIA MUNOZ (NPI# 1972168706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972168706 |
| Entity Type | Individual |
| Full Name | KELLY MARIA MUNOZ |
| Practice Address |
4102 Trenton Ave Hollywood FL 33026-4924 |
| Practice Telephone | 9545913292 |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4102 TRENTON AVE |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33026-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| 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 |
|---|---|---|---|---|
| 1629608047 | Sadelyn De Los Santos | Physician Assistant | 251 N 71st Ter, Hollywood, FL 33024-7364 | 2020-01-24 |
| 1306486873 | Selina Batchanoo | Physician Assistant | 2310 Mckinley St, Hollywood, FL 33020-3057 | 2020-01-13 |
| 1982268132 | Michelle Vann | Physician Assistant | 4501 Johnson St, Hollywood, FL 33021-5311 | 2019-04-23 |
| 1023587839 | Mithra Moon | Physician Assistant | 1600 Vine St Apt 543, Hollywood, CA 90028-8825 | 2018-11-21 |
| 1447741509 | Franziska Goetz | Physician Assistant | 3550 Washington St Apt 512, Hollywood, FL 33021-8264 | 2018-05-24 |
| 1740730779 | Priya Philip | Physician Assistant | 4184 Cascada Cir, Hollywood, FL 33024-8516 | 2016-10-13 |
| 1215480488 | Robyn Dauerman | Physician Assistant | 4340 Sheridan St Ste 201, Hollywood, FL 33021-3568 | 2016-07-25 |
| 1881066272 | Mariana Racovita | Physician Assistant | 3700 Washington St Ste 404, Hollywood, FL 33021-8249 | 2015-10-23 |
| 1902132145 | Kimberly Ann Monahan | Physician Assistant | 3440 Hollywood Blvd., Suite 460, Hollywood, FL 33021 | 2009-10-22 |
| 1215262464 | Ingrid Katarina Hudakova | Physician Assistant | 1442 Funston St, Hollywood, FL 33020-6428 | 2009-10-06 |
| Find all providers in HOLLYWOOD | ||||
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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.