Mario Theliard (NPI# 1669804720, PAC ID# 6305078338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1669804720 |
| PAC ID by PECOS | 6305078338 |
| Professional Enrollment ID | I20140407000319 |
| Full Name | Mario Theliard |
| Organization Legal Name | BROWARD COMMUNITY AND FAMILY HEALTH CENTERS INC |
| Address |
1229 Nw 40th Ave Suite 47 Lauderhill FL 33313-5801 |
| Phone Number | 9545834710 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 9032170345 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1229 Nw 40th Ave, Suite 47, Lauderhill, FL 33313-5801 | 9545834710 | 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 |
| 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 |
| Simon Laine | Nurse Practitioner | Broward Community and Family Health Centers Inc | 5010 Hollywood Blvd, Suite 100b, 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 |
1229 NW 40TH AVE SUITE 47 |
| City | LAUDERHILL |
| State | FL |
| Zip | 33313-5801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifton D Okman | Chiropractic | 7244 W Oakland Park Blvd, Lauderhill, FL 33313-1041 | |
| Luis Anaya | Physical Therapy | 7175 -7177 W Oakland Park Blvd, Lauderhill, FL 33313-1050 | |
| Melanie Reese | Optometry | Reese Vision Care Pa | 6244 W Oakland Park Blvd, Sunrise, FL 33313-1214 |
| Lynette Sieracki | Infectious Disease | 4900 W Oakland Park Blvd, Suite 203, Lauderdale Lakes, FL 33313-1501 | |
| Frantz Chery | General Surgery | 4900 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-1501 | |
| Kimeka Mckain- Joseph | Physician Assistant | Tenet Florida Physician Services LLC | 5000 W Oakland Park Blvd, Ft Lauderdale, FL 33313-1503 |
| Raghav L Seth | Cardiovascular Disease (cardiology) | 5000 W Oakland Park Boulevard, Lauderdale Lakes, FL 33313-1503 | |
| Theodoros Hailu | Emergency Medicine | Paragon Contracting Services LLC | 5000 W Oakland Park Blvd, Lauderdale Lake, FL 33313-1503 |
| Brucha L Dickinson | Pathology | East Coast Pathology Associates, Pa | 5000 W Oakland Park Blvd, Fort Lauderdale, FL 33313-1503 |
| Linda Dolin | Internal Medicine | 5000 W Oakland Park Blvd, Lauderdale Lake, FL 33313-1503 | |
| Find all physicians in zip 33313 | |||
| City | LAUDERHILL |
| Zip Code | 33313 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LAUDERHILL + GENERAL PRACTICE |
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| 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.