Jose David Sandoval-sus (NPI# 1174846158, PAC ID# 1052681947) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1174846158 |
| PAC ID by PECOS | 1052681947 |
| Professional Enrollment ID | I20170726000775 |
| Full Name | Jose David Sandoval-sus |
| Organization Legal Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Address |
801 N Flamingo Rd Suite 11 Pembroke Pines FL 33028-1046 |
| Phone Number | 9548446868 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 8123927373 |
| Number of Group Practice Members | 363 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100281 | MEMORIAL HOSPITAL WEST |
| 100038 | MEMORIAL REGIONAL HOSPITAL |
| 100230 | MEMORIAL HOSPITAL PEMBROKE |
| Address | Phone | Organization |
|---|---|---|
| 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 | 9548446868 | SOUTH BROWARD HOSPITAL DISTRICT |
| Organization Legal Name | SOUTH BROWARD HOSPITAL DISTRICT |
| Physicians | 394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fiorella Jahaira Saka | Nurse Practitioner | South Broward Hospital District | 1150 N 35 Ave, Hollywood, FL 33021-5424 |
| Tanya Ann M Rausch | Nurse Practitioner | South Broward Hospital District | 4700 Sheridan St A, Hollywood, FL 33021-3420 |
| Tjasa Hranjec | General Surgery | South Broward Hospital District | 1150 N 35th St, Suite 600, Hollywood, FL 33021-5431 |
| Amir Goldenberg | Internal Medicine | South Broward Hospital District | 2217 N University Dr, Pembroke Pines, FL 33024-3611 |
| Matthew Waldron | Family Medicine | South Broward Hospital District | 6730 Miramar Pkwy, Miramar, FL 33023-4838 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Heather S Spader | Neurosurgery | South Broward Hospital District | 3501 Johnson St, Hollywood, FL 33021-5421 |
| Alicia Sanchez | Family Medicine | South Broward Hospital District | 16620 Sheridan St, Fort Lauderdale, FL 33331-4128 |
| Marian Rosado | Psychologist, Clinical | South Broward Hospital District | 3600 Washington St, Hollywood, FL 33021-8216 |
| Paolo Coll | Family Medicine | South Broward Hospital District | 1740 Sheridan St, Hollywood, FL 33020-2275 |
| Street Address |
801 N FLAMINGO RD SUITE 11 |
| City | PEMBROKE PINES |
| State | FL |
| Zip | 33028-1046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paola Izquierdo | Nurse Practitioner | South Broward Hospital District | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 |
| Judith M Wint Ivery | Nurse Practitioner | South Broward Hospital District | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 |
| Yehuda Deutsch | Hematology/oncology | South Broward Hospital District | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 |
| Oleine Jules | Nurse Practitioner | South Broward Hospital District | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 |
| George Luis Valiente | Nurse Practitioner | South Broward Hospital District | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 |
| Robyn H Lofton | Nurse Practitioner | South Broward Hospital District | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 |
| Tracey Candelora | Nurse Practitioner | South Broward Hospital District | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 |
| Marta Uhlyar | Nurse Practitioner | South Broward Hospital District | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 |
| Kristin L Neves | Nurse Practitioner | South Broward Hospital District | 801 N Flamingo Rd, Suite 11, Pembroke Pines, FL 33028-1046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Frederick Smith | Obstetrics/gynecology | Vitalmd Group Holding LLC | 603 N Flamingo Rd, 361 Gemini Obgyn LLC, Pembroke Pines, FL 33028-1005 |
| Suzette M Rodriguez | Obstetrics/gynecology | Vitalmd Group Holding LLC | 603 N Flamingo Rd, 361 Gemini Obgyn LLC, Pembroke Pines, FL 33028-1005 |
| Todd M Goldberg | Obstetrics/gynecology | Vitalmd Group Holding LLC | 603 N Flamingo Rd, 361 Gemini Obgyn LLC, Pembroke Pines, FL 33028-1005 |
| Melanie E Garcia | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 |
| Carmen G Portogues | Physician Assistant | Florida Practitioners, LLC | 703 N Flamingo Rd, Memorial Hospital West, Pembroke Pines, FL 33028-1006 |
| Manuel A Carrazana | Nurse Practitioner | Professional Surgical Services Pllc | 703 N Flamingo Rd, Memorial Hospital W, Pembroke Pines, FL 33028-1006 |
| Sonia Sani | Internal Medicine | Eastside Hospitalists Inc | 703 N Flamingo Rd, Memorial Hospital West, Pembroke Pines, FL 33028-1006 |
| Monali Laxpati Gidwani | Family Medicine | Eastside Hospitalists Inc | 703 N Flamingo Rd, Memorial Hospital West, Pembroke Pines, FL 33028-1006 |
| James R Goodman | Anesthesiology | Sheridan Healthcorp Inc | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 |
| Iris C Cruz | Nurse Practitioner | Inphynet South Broward LLC | 703 N Flamingo Rd, Memorial Hospital West, Pembroke Pines, FL 33028-1006 |
| Find all physicians in zip 33028 | |||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | PEMBROKE PINES + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Jose David Sandoval-sus.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.