Individual provider · Type 1 NPI

Ponnila Srinivasan

Nurse Practitioner · Pembroke Pines, FL

NPI number 1093355190 Active

Practice location

7800 Sheridan St
Pembroke Pines, FL 33024-2536

Call (954) 883-8474 Map

Other practice locations

  • 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 · (954) 436-5000
  • 3600 Washington St, Hollywood, FL 33021-8216 · (954) 966-4500

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11004485 (FL)
Critical Care Medicine Registered Nurse 163WC0200X9244465 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1093355190

Ponnila Srinivasan's National Provider Identifier is 1093355190, issued on Jan 7, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Jun 5, 2025.