Individual provider Active NPI

Carlos Alberto Pardo, ARNP

  • Family Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1083878698
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9248458 Issued in FL
Practice address
6738 W Sunrise Blvd Suite 106
Plantation, FL 33313-6453
Phone
(954) 625-0587
Fax
(954) 697-0886
NPI assigned
Jul 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9248458 FL Primary

Addresses

Primary practice location

6738 W Sunrise Blvd Suite 106
Plantation, FL 33313-6453

Mailing address

1500 SW 131St Way Apt N-404
Pembroke Pines, FL 33027
Phone (954) 864-8866

Other practice location 1

351 S Cypress Road Suite 315
Pompano Beach, FL 33060-6453
Phone (754) 246-2134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100223000218 FL Practitioner - Nurse Practitioner 6406914191 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6738 W Sunrise Blvd
Plantation, FL 33313-6070
Phone (954) 625-0587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 9248458FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shands/Solantic Joint Venture, LLC CurrentSince Sep 16, 2013 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Sep 16, 2013 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Sep 16, 2013 Accepting new patients
Solantic/South Florida, LLC CurrentSince Sep 16, 2013 Accepting new patients
T P H T Inc CurrentSince Apr 1, 2022 Accepting new patients
Connecticut General Life Insurance Company (Cglic) Past Accepting new patients
Evernorth Direct Health LLC PastSince Sep 25, 2019 Accepting new patients

Locations

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

6738 W Sunrise Blvd
Ste 106
Plantation, FL 33313
Phone (954) 625-0587

6738 W Sunrise Blvd
Plantation, FL 33313
Phone (954) 530-5835

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

Organizations & group practices 7

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": "1215820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1083878698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 131ST WAY APT N-404",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-864-8866",
            "fax_number": "954-697-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6738 W SUNRISE BLVD SUITE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136453",
            "telephone_number": "954-625-0587",
            "fax_number": "954-697-0886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 S Cypress Road Suite 315",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330606453",
            "country_code": "US",
            "telephone_number": "754-246-2134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARDO",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-12",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9248458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.