| Broward Community And Family Health Centers Inc | |
|
5010 Hollywood Blvd 100b Hollywood FL 33021-6557 | |
| (954) 967-0028 | |
| (954) 971-9503 |
| Full Name | Broward Community And Family Health Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5010 Hollywood Blvd, Hollywood, Florida |
| Authorized Official Name and Position | Rosalyn R. Frazier (CEO) |
| Authorized Official Contact | 9549670028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Community And Family Health Centers Inc 5010 Hollywood Blvd 100b Hollywood FL 33021-6557 Ph: (954) 967-0028 | Broward Community And Family Health Centers Inc 5010 Hollywood Blvd 100b Hollywood FL 33021-6557 Ph: (954) 967-0028 |
| NPI Number | 1730121435 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 05/27/2015 |
| Medicare PECOS PAC ID | 9032170345 |
|---|---|
| Medicare Enrollment ID | O20041020000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730121435 | NPI | - | NPPES |
| 57395 | Other | FL | BCBS |
| 680027100 | Medicaid | FL | |
| 680027101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 0612604 (Florida) | Primary |
| Provider Name | Hyacinth E Grey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679687537 PECOS PAC ID: 1850281437 Enrollment ID: I20040317001119 |
| Provider Name | Sandra Faye Williams |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366467078 PECOS PAC ID: 2567432875 Enrollment ID: I20040726001228 |
| Provider Name | Edwin A Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295774867 PECOS PAC ID: 1254397235 Enrollment ID: I20041202000270 |
| Provider Name | Mercie Vielot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831130624 PECOS PAC ID: 5890751317 Enrollment ID: I20041207000509 |
| Provider Name | Daniel F Mandri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013966704 PECOS PAC ID: 5991755316 Enrollment ID: I20050124000937 |
| Provider Name | Sheila A Gibson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750383352 PECOS PAC ID: 3375593429 Enrollment ID: I20050126000560 |
| Provider Name | Lauren J Shikany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881983971 PECOS PAC ID: 4688859846 Enrollment ID: I20110503000622 |
| Provider Name | Maria L Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326460080 PECOS PAC ID: 3678798402 Enrollment ID: I20140710000928 |
| Provider Name | Joseph Walter King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255392890 PECOS PAC ID: 3678543444 Enrollment ID: I20141217002727 |
| Provider Name | Jose A Alvarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497014765 PECOS PAC ID: 7113249749 Enrollment ID: I20150121001649 |
| Provider Name | Clones Lans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235423138 PECOS PAC ID: 5395915565 Enrollment ID: I20150519002537 |
| Provider Name | Simon Laine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639573157 PECOS PAC ID: 3678887379 Enrollment ID: I20150807014064 |
| Provider Name | Carmen De Leon Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134198112 PECOS PAC ID: 6406156025 Enrollment ID: I20151203000059 |
| Provider Name | Hans Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437332269 PECOS PAC ID: 1456502053 Enrollment ID: I20160126002117 |
| Provider Name | Shavonne Td Ramsey-coleman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538269204 PECOS PAC ID: 3274532965 Enrollment ID: I20160308002584 |
| Provider Name | Jermaine A Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407017387 PECOS PAC ID: 0840599551 Enrollment ID: I20160502001788 |
| Provider Name | Nailah Safiya Adams Morancie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275899163 PECOS PAC ID: 2567759053 Enrollment ID: I20160927002443 |
| Provider Name | Gabrijela Mekic-ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639613995 PECOS PAC ID: 4183906415 Enrollment ID: I20170123001215 |
| Provider Name | Sheridan L Major-moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073905121 PECOS PAC ID: 0840581153 Enrollment ID: I20170816004370 |
| Provider Name | Tiffany Maxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326559691 PECOS PAC ID: 0941547228 Enrollment ID: I20190124000948 |
| Provider Name | Nilda N Montalvo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225511041 PECOS PAC ID: 6103163167 Enrollment ID: I20190129001684 |
| Provider Name | Jenna Meryl Appel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467954446 PECOS PAC ID: 0749528768 Enrollment ID: I20190215001984 |
| Provider Name | Marlene Adesca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376895730 PECOS PAC ID: 2365788171 Enrollment ID: I20190304002432 |
| Provider Name | Aliaha Daphnis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1932665833 PECOS PAC ID: 7810238037 Enrollment ID: I20190416000795 |
| Provider Name | Lineth R Fontela-hume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831656420 PECOS PAC ID: 3476895210 Enrollment ID: I20190429000286 |
| Provider Name | Veronica Delgado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932763174 PECOS PAC ID: 3173856549 Enrollment ID: I20190618001224 |
| Provider Name | Margaret Phyllishe Lott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356735393 PECOS PAC ID: 7113252008 Enrollment ID: I20190715002798 |
| Provider Name | Jane Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396133831 PECOS PAC ID: 2668700386 Enrollment ID: I20190820000509 |
| Provider Name | Elizabeth H. Steinberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588926505 PECOS PAC ID: 6002110020 Enrollment ID: I20191002002962 |
| Provider Name | Myrtha Jura-pierre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598310211 PECOS PAC ID: 3971938887 Enrollment ID: I20200123001595 |
| Provider Name | Adayah S Almaral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245862630 PECOS PAC ID: 4385071240 Enrollment ID: I20200305001880 |
| Provider Name | Paulin Gotrace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538690813 PECOS PAC ID: 1153750088 Enrollment ID: I20200329000033 |
| Provider Name | Stevenson Brisson Chery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144723958 PECOS PAC ID: 2365863727 Enrollment ID: I20200611000127 |
| Provider Name | Jesula Petit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487004594 PECOS PAC ID: 1052687100 Enrollment ID: I20200803001077 |
| Provider Name | Yarlenis Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104437789 PECOS PAC ID: 3375960768 Enrollment ID: I20200831002330 |
| Provider Name | Ruth Delva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699263343 PECOS PAC ID: 2668891961 Enrollment ID: I20201007000047 |
| Provider Name | Violeta D Trenkova |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841641792 PECOS PAC ID: 6800155854 Enrollment ID: I20211124001642 |
| Provider Name | Sandrah Cleophat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174896112 PECOS PAC ID: 7315338613 Enrollment ID: I20211221001782 |
| Provider Name | Ellin Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063916112 PECOS PAC ID: 3779831474 Enrollment ID: I20220214000347 |
| Provider Name | Staci Terell Hines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811449770 PECOS PAC ID: 3678950128 Enrollment ID: I20220523000928 |
| Provider Name | Taea Julia Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538774971 PECOS PAC ID: 9436538428 Enrollment ID: I20220622001426 |
| Provider Name | Julio Salas |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427619253 PECOS PAC ID: 4789010679 Enrollment ID: I20220810003098 |
| Provider Name | Lisage Georges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770102634 PECOS PAC ID: 1658755905 Enrollment ID: I20220906000434 |
| Provider Name | Rebekah T Adai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144572132 PECOS PAC ID: 9234424706 Enrollment ID: I20230406000415 |
| Provider Name | Susana Barros-sierra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295354744 PECOS PAC ID: 2163878588 Enrollment ID: I20231020002635 |
The Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3816 Hollywood Blvd, Suite 102, Hollywood, FL 33021 Phone: 954-987-2900 Fax: 954-987-2986 | |
Path Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2544 N State Road 7, Hollywood, FL 33021 Phone: 954-735-6584 Fax: 954-735-6589 | |
Lifeline Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1311 N Federal Hwy # 1, Hollywood, FL 33020 Phone: 888-202-6052 | |
Coral West Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11011 Sheridan St Ste 205, Hollywood, FL 33026 Phone: 954-404-6430 Fax: 954-404-6362 | |
Exablate Of North Dade County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3440 Hollywood Blvd, Venture Corporate Center I, Suite 110, Hollywood, FL 33021 Phone: 281-820-7900 Fax: 281-820-7925 | |
The Center For Gastrointestinal Disorders Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1150 N 35th Avenue, Suite 445, Hollywood, FL 33021 Phone: 954-961-7771 Fax: 954-961-9633 | |
Broward Medical Center Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5920 Johnson St, Ste 104, Hollywood, FL 33021 Phone: 954-985-0985 |