| Seminole Tribe Of Florida Health Dept. | |
|
3006 Josie Billie Ave Hollywood FL 33024 | |
| (954) 962-2009 | |
| (954) 985-8456 |
| Full Name | Seminole Tribe Of Florida Health Dept. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3006 Josie Billie Ave, Hollywood, Florida |
| Authorized Official Name and Position | Connie Whidden (HEALTH DIRECTOR SEMINOLE TRIBE OF F) |
| Authorized Official Contact | 9549622009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seminole Tribe Of Florida Health Dept. 3006 Josie Billie Ave. Hollywood FL 33024 Ph: (954) 262-2009 | Seminole Tribe Of Florida Health Dept. 3006 Josie Billie Ave Hollywood FL 33024 Ph: (954) 962-2009 |
| NPI Number | 1144551748 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 01/23/2012 |
| Medicare PECOS PAC ID | 4082710835 |
|---|---|
| Medicare Enrollment ID | O20210817002167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144551748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | 3083592 (Florida) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robynn Ashley Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649680273 PECOS PAC ID: 4587069307 Enrollment ID: I20210817002941 |
| Provider Name | Dimeka D Darville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528476470 PECOS PAC ID: 8729302005 Enrollment ID: I20210817003739 |
| Provider Name | Vandhana B Kiswani Barley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720342173 PECOS PAC ID: 7113227356 Enrollment ID: I20210817003910 |
| Provider Name | Michelle M Defreitas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144354390 PECOS PAC ID: 5496043861 Enrollment ID: I20210817004099 |
| Provider Name | Pauline V Good |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174672919 PECOS PAC ID: 6901981349 Enrollment ID: I20210817004145 |
| Provider Name | Prema L Ramsahai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578727905 PECOS PAC ID: 4880865807 Enrollment ID: I20210825002862 |
| Provider Name | Melanie Virginie Mello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285754119 PECOS PAC ID: 8022163013 Enrollment ID: I20210901002298 |
| Provider Name | Kimberly Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881212322 PECOS PAC ID: 6103222070 Enrollment ID: I20210901003011 |
| Provider Name | Valerie M Marlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770082844 PECOS PAC ID: 1153683099 Enrollment ID: I20230308001562 |
| Provider Name | Sara Phuong T Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710649322 PECOS PAC ID: 2769855089 Enrollment ID: I20230308002588 |
| Provider Name | Sandra Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225733678 PECOS PAC ID: 8527404623 Enrollment ID: I20240312001459 |
| Provider Name | Claudette L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700851623 PECOS PAC ID: 9032353545 Enrollment ID: I20240312002713 |
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