Individual provider Active NPI

Anisa Musallam, PA-C

  • Medical Physician Assistant
  • Plantation, FL
National Provider Identifier
1548855380
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9114230 Issued in FL
Practice address
7007 W Broward Blvd Unit 5
Plantation, FL 33317-2208
Phone
(954) 791-3636
NPI assigned
Mar 3, 2021
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9114230 FL Primary

Addresses

Primary practice location

7007 W Broward Blvd Unit 5
Plantation, FL 33317-2208

Mailing address

2000 Health Park Dr FL 2
Brentwood, TN 37027-4692
Phone (615) 373-7600

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
I20210805002681 FL Practitioner - Physician Assistant 7911301445 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

11800 S Military TRL
Suite 105
Golf, FL 33436-5506
Phone (561) 264-2280

1200 W Yamato Rd
Suite A7
Boca Raton, FL 33431-4429
Phone (561) 288-0722

14701 S Military TRL
Delray Beach, FL 33484-8152
Phone (561) 865-4702

1625 S Federal Hwy
Boynton Beach, FL 33435-6953
Phone (561) 945-0544

2272 N Congress Ave
Boynton Beach, FL 33426-8604
Phone (561) 737-1927

4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881

6699 W Boynton Beach Blvd
Boynton Beach, FL 33437-3527
Phone (561) 734-4210

7007 W Broward Blvd
Unit 5
Plantation, FL 33317-2208
Phone (954) 791-3636

9690 Glades Rd
Unit 425
Boca Raton, FL 33434-4015
Phone (561) 449-2322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9114230FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Feb 1, 2025 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Mar 27, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Mar 27, 2024 Accepting new patients
Michelle D Cohen MD PA PastSince Sep 29, 2024 Accepting new patients

Locations

9162 Glades Rd
Boca Raton, FL 33434
Phone (561) 609-1119

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

7007 W Broward Blvd
Unit 5
Plantation, FL 33317
Phone (954) 791-3636

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1548855380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR FL 2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 W BROWARD BLVD UNIT 5",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172208",
            "telephone_number": "954-791-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSALLAM",
        "first_name": "ANISA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.