Active NPI
Liliana Maria Brudasca
- Registered Nurse
- Lauderdale Lakes, FL
National Provider Identifier
1063834745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9257526
- Practice address
- 4699 N State Road 7 Ste P&Z
Lauderdale Lakes, FL 33319-5879 - Phone
- (954) 234-2724
- NPI assigned
- Jan 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9257526 | FL | Primary |
Addresses
Primary practice location
4699 N State Road 7 Ste P&Z
Lauderdale Lakes, FL 33319-5879
Mailing address
840 SW 118TH Ter
Davie, FL 33325-3828
Phone (954) 907-8667
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9257526 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1063834745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 SW 118TH TER",
"city": "DAVIE",
"state": "FL",
"postal_code": "333253828",
"telephone_number": "954-907-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4699 N STATE ROAD 7 STE P&Z",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195879",
"telephone_number": "954-234-2724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUDASCA",
"first_name": "LILIANA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9257526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderdale Lakes, FL
- Breezy Speech and Feeding, LLC
- Broward Pet Imaging Center LLC
- Broward Rehabilitation Medicine Associates PA
- Ranie-Ann Dominique Brown, CCP
- Bruce a. Perlman, M.D., P.a. (Broward Arrhythmia Physicians)
- Marshall Jay Brumer, MD
- Jan Scott Buchholz, DC
- Maria Elena Buendia
- Timothy H Bulger III, BCBA
- Isaac Burdeinick, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.