| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1780003459 | GUEVARA | JADE | GIESEKE | 1776 N PINE ISLAND RD STE 214 | PLANTATION | FL | 333225223 | |
| 1003952466 | KUBAL | ANUP | 1776 N PINE ISLAND RD STE 214 | PLANTATION | FL | 333225223 | ||
| 1700048501 | VEDULA | GEETHA | GANTI | 1776 N PINE ISLAND RD STE 214 | PLANTATION | FL | 333225223 |