Individual provider Active NPI

Shatara Francisco-Martinboro

  • Physician Assistant
  • Hollywood, FL
National Provider Identifier
1538793203
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112676 Issued in FL
Practice address
1150 N 35TH Ave Ste 460
Hollywood, FL 33021-5430
Phone
(954) 265-9701
Fax
(954) 265-8373
NPI assigned
Mar 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112676 FL Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

1150 N 35TH Ave Ste 460
Hollywood, FL 33021-5430

Mailing address

1150 N 35TH Ave Ste 460
Hollywood, FL 33021-5430
Phone (954) 265-9701

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200630003437 FL Practitioner - Physician Assistant 0749603272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Hollywood, FL 33021-5430

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District CurrentSince Aug 20, 2023 Accepting new patients
South Broward Hospital District CurrentSince Aug 20, 2023 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

3700 Washington St
Ste 500A
Hollywood, FL 33021
Phone (954) 633-7858

1150 N 35th Ave
Ste 460
Hollywood, FL 33021
Phone (954) 265-1125

2900 Corporate Way
Miramar, FL 33025
Phone (954) 276-5411

Interoperability endpoints

  • Direct secure messaging: sfranciscomartinboro241030@mhsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1538793203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 460",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215430",
            "telephone_number": "954-265-9701",
            "fax_number": "954-265-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 460",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215430",
            "telephone_number": "954-265-9701",
            "fax_number": "954-265-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCISCO-MARTINBORO",
        "first_name": "SHATARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2023-07-28",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112676",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.