Everold Esmile Haffizulla, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0038864 Issued in FL

Practice address

7875 W Commercial Blvd
Tamarac, FL 33351-4353

Phone

(954) 726-0099

Fax

(954) 726-0047

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical Associates of Tamarac PAGroup PAC ID 1658434949, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Home Health Services Home health agency, Fort Lauderdale, FL, CCN 107103
• Community Home Health Services Home health agency, Lake Worth, FL, CCN 107325

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Medical Associates of Tamarac PA

  • Internal Medicine Physician
  • Tamarac, FL
  • NPI 1760554844
  Medicare reassignment Care Compare group NPD Authorized official
• Rheumatology Associates of Tamarac

  • Rheumatology Physician
  • Tamarac, FL
  • NPI 1144195959
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Traditional Home Care Inc.

  • Home Health Agency
  • Ft Lauderdale, FL
  • NPI 1598717605
  Care Compare affiliation
• Traditional Home Health of Palm Beach, Inc.

  • Home Health Agency
  • Lake Worth, FL
  • NPI 1386697936
  Care Compare affiliation

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1215009386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333514353",
            "telephone_number": "954-726-0099",
            "fax_number": "954-726-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 W COMMERCIAL BLVD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333514353",
            "telephone_number": "954-726-0099",
            "fax_number": "954-726-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFIZULLA",
        "first_name": "EVEROLD",
        "middle_name": "ESMILE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0038864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Gurdak, LCSW
• Gus Armenakis MD PA
• Anna Ruth Gutierrez-Hatch, LMHC
• Estefany Gutierrez
• Carol Lynn Gwaltney, LCSW
• Jason Marc Haffizulla, M.D.
• Hair Is Beauty, LLC
• Tanya Hajisalem
• Pristine Hakime, RN, APRN,
• Samiyah Zanovia Haley

• Family Medicine Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.