Individual provider Active NPI

Aneta Dadashev, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1942335492
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104589 Issued in FL
Practice address
2706 Griffin Rd
Fort Lauderdale, FL 33312-5856
Phone
(954) 544-5917
Fax
(954) 924-1540
NPI assigned
Feb 23, 2007
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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 PA9104589 FL Primary
Surgical Physician Assistant 363AS0400X 011476 NY

Addresses

Primary practice location

2706 Griffin Rd
Fort Lauderdale, FL 33312-5856

Mailing address

2706 Griffin Rd
Fort Lauderdale, FL 33312-5856
Phone (954) 544-5917

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
I20121031000347 FL Practitioner - Physician Assistant 1153419445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2706 Griffin Rd
Fort Lauderdale, FL 33312-5648
Phone (954) 544-5917

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011476NYMDHand Occupational Therapist
PA9104589FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Romualdo J. Segurola, Jr. M.D., P.a. PastSince Jun 1, 2004 Accepting new patients

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, 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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1942335492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 GRIFFIN RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125856",
            "telephone_number": "954-544-5917",
            "fax_number": "954-924-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 GRIFFIN RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333125856",
            "telephone_number": "954-544-5917",
            "fax_number": "954-924-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADASHEV",
        "first_name": "ANETA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104589",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "011476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.