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

Pooja Prakash Baviskar

Individual provider Physician Assistant · NPI 1356987721

Pooja Prakash Baviskar is a Physician Assistant in Davie, Florida. Qualified in 2019, 7 years ago. Practices with Criticare Clinics Inc, a 104-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019

Practice location Address checks out

931 SW 111th Way
Davie, FL 33324-4130
Phone: (954) 608-3790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9112760 (FL)

Record details

NPI number1356987721
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 20, 2019
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020
Mailing address931 Sw 111th Way, Davie, FL 33324-4130

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Criticare Clinics Inc — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Davie