Annette Sophin, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9107333 Issued in FL

Practice address

10190 SW 3Rd St
Plantation, FL 33324-2234

Phone

(954) 382-2930

NPI assigned

Aug 7, 2013

Last updated

Aug 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1467884916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10885 NW 6TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717941",
            "telephone_number": "954-382-2930",
            "fax_number": "954-382-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10190 SW 3RD ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242234",
            "telephone_number": "954-382-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPHIN",
        "first_name": "ANNETTE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9107333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia C. Mielke
• Amy L Sonnenblick, M.D.
• Sumit Sean Sood, M.D.
• Yatasha Sookhansingh
• Vanita Sooknanan, CRNA
• Mary Sorci, DO
• Brett Sorel, MS, RD, LDN
• Hunter David Sorensen, DO
• Abner Evans Sosa, PA
• Brian Sosa

• Surgical Physician Assistant in Plantation, FL
• Providers in Plantation, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.