Individual provider Active NPI

Daphne Of Desmarattes

  • Clinical Medical Laboratory
  • Plantation, FL
National Provider Identifier
1689389587
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Practice address
767 S State Road 7
Plantation, FL 33317-4000
Phone
(305) 962-8854
Fax
(954) 372-1335
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X FL Primary

Addresses

Primary practice location

767 S State Road 7
Plantation, FL 33317-4000

Mailing address

1602 SW 159TH Ave
Pembroke Pines, FL 33027-2342
Phone (305) 962-8854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Breezy IV Hydration Therapy LLC Clinical Medical Laboratory CurrentSince Apr 16, 2023 Accepting new patients
Trinityschoolofnursing.Org CurrentSince Jan 22, 2023 Accepting new patients

Locations

767 S State Road 7
Plantation, FL 33317
Phone (305) 962-8854

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1689389587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 SW 159TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330272342",
            "telephone_number": "305-962-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 S STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174000",
            "telephone_number": "305-962-8854",
            "fax_number": "954-372-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMARATTES",
        "first_name": "DAPHNE",
        "middle_name": "OF",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.