Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ponnila Srinivasan

Individual provider Nurse Practitioner · NPI 1093355190

Ponnila Srinivasan is a Nurse Practitioner in Pembroke Pines, Florida. Qualified in 2019, 7 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

7800 Sheridan St
Pembroke Pines, FL 33024-2536
Phone: (954) 883-8474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11004485 (FL)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 9244465 (FL)

Record details

NPI number1093355190
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 7, 2020
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address7800 Sheridan St, Pembroke Pines, FL 33024-2536

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pembroke Pines