Columbia Medical Group
Organization Active NPI Family Nurse Practitioner · Greenacres, FL
NPI 1306255237 · NPPES record last updated Aug 5, 2014
Key facts
- NPI
- 1306255237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9310077 (FL)
- Legal business name
- COLUMBIA MEDICAL GROUP
- Practice address
- 3907 S Jog Rd
Greenacres, FL 33467-1590 - Phone
- (561) 432-3455
- NPI assigned
- Aug 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Ramon Voils
- Title
- Administrative Officer
- Phone
- (561) 432-3455
Corporate family (same tax ID) 1
Practitioners 13
-
Sandra Lissa Dibello, ARNP
-
Nader Abdallah, D.O.
-
Osvaldo Alvarez Lopez, APRN
-
Emely Arrieta-Smith, APRN
-
Doris Cifuentes, MD
-
Susan Maureen Dash, ARNP
-
Elena Edwards, MD
-
Margarita Godoy, APRN
-
Lina Maria Gutierrez, APRN
-
Marilyn Llavona-Suarez, M.D.
-
Evelyn Nieves, MD
-
Luis Ariel Ortiz, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2060573 | Columbia Medical Group LLC | Certificate of waiver | Jun 12, 2027 |
National Provider Directory
- Tax ID family
- Barclay Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | ARNP9310077 | FL | Yes |
Addresses
Primary practice location
3907 S Jog Rd
Greenacres, FL 33467-1590
Mailing address
3907 S Jog Rd
Greenacres, FL 33467-1590
Other providers in Greenacres, FL
- Coalition for Independent Living Options, Inc
- Cobbs
- Alexa Cohen
- David Jose Cohen
- Kathleen Marie Collister
- Columbia Medical Group LLC
- Comfort Home Health Services
- Comfort Keepers
- Comfortable Care Dental Health Professionals, P.a.
- Complete Care Health & Wellness, LLC
All providers in Greenacres, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.