Active NPI
Jessica B Remavich, PA-C
- Physician Assistant
- Tamarac, FL
National Provider Identifier
1417473117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9110515
- Practice address
- 7171 N University Dr Ste 100
Tamarac, FL 33321-2902 - Phone
- (954) 718-7776
- Fax
- (954) 597-7773
- NPI assigned
- Aug 15, 2017
- Last updated
- Mar 8, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9110515 | FL | Primary |
Addresses
Primary practice location
7171 N University Dr Ste 100
Tamarac, FL 33321-2902
Mailing address
5163 NW 58TH Ter
Coral Springs, FL 33067-2144
Phone (307) 331-0114
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9110515 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1417473117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5163 NW 58TH TER",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330672144",
"telephone_number": "307-331-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 N UNIVERSITY DR STE 100",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212902",
"telephone_number": "954-718-7776",
"fax_number": "954-597-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMAVICH",
"first_name": "JESSICA",
"middle_name": "B",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9110515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
- Redstone Emergency Physicians, LLC
- Reed Mauser DPM PLLC
- Regard Recovery Residential Treatment of Florida, LLC (Destination Hope)
- Kerry-Ann A Reid, LMT
- Reliable Diagnostic Services
- Replenishrx Concierge LLC
- Ricardo Jose Restrepo
- Raquel E. Reyes Rosado I
- Mallica David Reynolds
- Rheumatology Associates of Tamarac
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.