Individual provider Active NPI

Miriam Harrar

  • Certified Registered Nurse Anesthetist
  • Hollywood, FL
National Provider Identifier
1023646767
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11013316 Issued in FL
Practice address
4730 Sarazen Dr
Hollywood, FL 33021-2346
Phone
(305) 331-3230
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9435881 FL
Certified Registered Nurse Anesthetist 367500000X 11013316 FL Primary

Addresses

Primary practice location

4730 Sarazen Dr
Hollywood, FL 33021-2346

Mailing address

4730 Sarazen Dr
Hollywood, FL 33021-2346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210709002682 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002218294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1000 River Rd
Suite 100
Conshohocken, PA 19428-2439

1525 NW 62ND St
Fort Lauderdale, FL 33309-1831

25 Commerce Dr
Suite 250
Cranford, NJ 07016-3621

3601 W Commercial Blvd
C/O Anesco North Broward LLC
Fort Lauderdale, FL 33309-3300

3601 W Commercial Blvd
Suite 5
Fort Lauderdale, FL 33309-3392

4730 Sarazen Dr
Hollywood, FL 33021-2346

4919 Memorial Hwy
Suite 200
Tampa, FL 33634-7500

7700 W Sunrise Blvd
Plantation, FL 33322-4113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9435881FLMDRegistered Nurse
11013316FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
East Coast Anesthesia LLC CurrentSince Jun 1, 2021 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesco North Broward LLC CurrentSince Jun 20, 2023 Accepting new patients

Locations

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

401 SW 42nd Ave
Ste 201
Coral Gables, FL 33134
Phone (305) 447-0882

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002

3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1023646767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 SARAZEN DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 SARAZEN DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212346",
            "telephone_number": "305-331-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRAR",
        "first_name": "MIRIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9435881",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11013316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.