Thalia Danae Adrian, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Hollywood, FL
NPI 1679323281 · NPPES record last updated Mar 26, 2024
Key facts
- NPI
- 1679323281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 3501 Johnson St
Hollywood, FL 33021-5421 - Phone
- (954) 987-2000
- NPI assigned
- Mar 26, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240703003321 | FL | Order and Referring Only - Psychiatry |
9032653829 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
3501 Johnson St
Hollywood, FL 33021-5421
Mailing address
3501 Johnson St
Hollywood, FL 33021-5421
Phone (954) 987-2000
Other providers in Hollywood, FL
- Linda Adition
- Aliza Adivi
- Andrew Jonathan Adler
- Jason L Adler
- Nijeansky Lisadora Adolphe
- Nancy Adrien
- Adrienn Nagy, LLC
- Advance Behavior Health LLC
- Advanced Acupuncture Inc
- Advanced Dental LLC
All providers in Hollywood, FL · Student in an Organized Health Care Education/Training Program in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.