Simon Laine (NPI# 1639573157, PAC ID# 3678887379) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639573157 |
| PAC ID by PECOS | 3678887379 |
| Professional Enrollment ID | I20150807014064 |
| Full Name | Simon Laine |
| Organization Legal Name | BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC |
| Address |
5010 Hollywood Blvd Suite 100b Hollywood FL 33021-6557 |
| Phone Number | 9549670028 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9032170345 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5010 Hollywood Blvd, Suite 100b, Hollywood, FL 33021-6557 | 9549670028 | BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC |
| Organization Legal Name | BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen De Leon Martinez | Family Medicine | Broward Community and Family Health Centers Inc | 5010 Hollywood Blvd, Suite 5012, Hollywood, FL 33021-6557 |
| Mario Theliard | General Practice | Broward Community and Family Health Centers Inc | 1229 Nw 40th Ave, Suite 47, Lauderhill, FL 33313-5801 |
| Emmanuel R Isaac | General Practice | Broward Community and Family Health Centers Inc | 5801 Hallandale Beach Blvd, West Park, FL 33023-5243 |
| Nailah Adams | Family Medicine | Broward Community and Family Health Centers Inc | 5010 Hollywood Blvd, Hollywood, FL 33021-6557 |
| Marlene Adesca | Nurse Practitioner | Broward Community and Family Health Centers Inc | 5010 Hollywood Blvd, Suite 5012, Hollywood, FL 33021-6557 |
| Erika Yu | Physician Assistant | Broward Community and Family Health Centers Inc | 5010 Hollywood Blvd, Hollywood, FL 33021-6557 |
| Tyshan A Oates | Physician Assistant | Broward Community and Family Health Centers Inc | 5801 Hallandale Beach Blvd, West Park, FL 33023-5243 |
| Yana N Blaise | Nurse Practitioner | Broward Community and Family Health Centers Inc | 5801 Hallandale Beach Blvd, West Park, FL 33023-5243 |
| Lauren J Shikany | Nurse Practitioner | Broward Community and Family Health Centers Inc | 5801 Hallandale Beach Blvd, West Park, FL 33023-5243 |
| Street Address |
5010 HOLLYWOOD BLVD SUITE 100B |
| City | HOLLYWOOD |
| State | FL |
| Zip | 33021-6557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen De Leon Martinez | Family Medicine | Broward Community and Family Health Centers Inc | 5010 Hollywood Blvd, Suite 5012, Hollywood, FL 33021-6557 |
| Nailah Adams | Family Medicine | Broward Community and Family Health Centers Inc | 5010 Hollywood Blvd, Hollywood, FL 33021-6557 |
| Marlene Adesca | Nurse Practitioner | Broward Community and Family Health Centers Inc | 5010 Hollywood Blvd, Suite 5012, Hollywood, FL 33021-6557 |
| Erika Yu | Physician Assistant | Broward Community and Family Health Centers Inc | 5010 Hollywood Blvd, Hollywood, FL 33021-6557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorrett Codner | Nurse Practitioner | South Broward Hospital District | 1150 N 35th St, Suite 205a, Hollywood, FL 33021 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Sathi Ghosh | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Alan S Lane | Ophthalmology | 4000 Hollywood Blvd, 180n, Hollywood, FL 33021-1204 | |
| Jeffrey E Caplan | Plastic and Reconstructive Surgery | 4330 Sheridan St, Suite 102, Hollywood, FL 33021-1406 | |
| Edward S. Wagner | Obstetrics/gynecology | Vitalmd Group Holding LLC | 4330 Sheridan St, Suite 101, Hollywood, FL 33021-1408 |
| Ravikanth Chiravuri | Cardiovascular Disease (cardiology) | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 | |
| Thomas D Rawson | Physician Assistant | Frank C Alario Md Pl | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 |
| Michael L Newman | Optometry | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Blaine S Cameron | Anesthesiology | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Find all physicians in zip 33021 | |||
| City | HOLLYWOOD |
| Zip Code | 33021 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOLLYWOOD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Simon Laine.
| 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.