Individual provider Active NPI

Edwine Pierre Mathurin, ARNP

  • Family Medicine Physician
  • Oakland Park, FL
National Provider Identifier
1124520556
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9316474 Issued in FL
Practice address
1736 E Commercial Blvd
Oakland Park, FL 33334-5721
Phone
(954) 267-9696
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9316474 FL Primary

Addresses

Primary practice location

1736 E Commercial Blvd
Oakland Park, FL 33334-5721

Mailing address

20300 NE 3Rd CT Apt 6
Miami, FL 33179-5214

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
I20250404001690 FL Practitioner - Nurse Practitioner 8123542768 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9316474FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD at Home Central Florida, LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

8201 Peters Rd
Ste 1000
Plantation, FL 33324
Phone (312) 243-2223

Interoperability endpoints

  • Direct secure messaging: edwine.mathurin.1@3342.direct.athenahealth.com

Organizations & group practices 1

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1124520556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20300 NE 3RD CT APT 6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331795214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333345721",
            "telephone_number": "954-267-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE MATHURIN",
        "first_name": "EDWINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "9316474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.