Individual provider Active NPI

Jacqueline Angela Maynard, M.D.

  • Family Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1447272992
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME87693 Issued in FL
Practice address
1430 S Powerline Rd
Pompano Beach, FL 33069-4316
Phone
(954) 970-7272
Fax
(954) 970-0282
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 ME87693 FL Primary

Addresses

Primary practice location

1430 S Powerline Rd
Pompano Beach, FL 33069-4316

Mailing address

8333 NW 53Rd St FL 6
Doral, FL 33166-4783

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000422 FL Practitioner - Family Practice 9133200975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cano Health, LLCGroup PAC ID 1759565047, 141 clinicians

Practice addresses (Care Compare)

1430 S Powerline Rd
Bay 16
Pompano Beach, FL 33069-4316
Phone (855) 226-6633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME87693FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cano Health, LLC CurrentSince Dec 31, 2020 Accepting new patients
Medical Resources, LLC Past Accepting new patients

Locations

8333 NW 53rd St
Fl 6
Doral, FL 33166

3061 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 491-0031

12977 Southern Blvd
Ste 202
Loxahatchee, FL 33470
Phone (561) 204-3620

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

1430 SW 26th Ave
Pompano Beach, FL 33069
Phone (954) 970-7272

1430 S Powerline Rd
#16
Pompano Beach, FL 33069

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jacqueline.maynard@chealth.eclinicaldirectplus.com

Organizations & group practices 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1447272992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST FL 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S POWERLINE RD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330694316",
            "telephone_number": "954-970-7272",
            "fax_number": "954-970-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "JACQUELINE",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME87693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.