Manitha Lubin

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9295616 Issued in FL

Practice address

11756 SW 59TH CT
Cooper City, FL 33330-4158

Phone

(954) 260-1528

NPI assigned

Jun 11, 2021

Last updated

Jun 11, 2021By 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

State licenses

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1548838139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11756 SW 59TH CT",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304158",
            "telephone_number": "954-260-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11756 SW 59TH CT",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333304158",
            "telephone_number": "954-260-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "MANITHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9295616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Amparo Lopez, OTR/L
• Teanne Nicole Lopez, DPT
• Teresa Lorenzo, ARNP
• Lori Sawyer-Lyons PSYD,PA
• Lauren Y Love, D.C.
• Rhonda D Madison
• Main Street Children's Dentistry and Orthodontics of South Broward, PA (Main Street Orthodontics of South Broward)
• William G Malcolm, DPM
• Jennifer E Malpass, RDN
• Kristen Marjama, FNP-C

• Registered Nurse in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.