| Baptist Health Medical Group North | |
|
800 Meadows Rd Boca Raton FL 33486-2304 | |
| (561) 955-3593 | |
| (561) 955-5151 |
| Full Name | Baptist Health Medical Group North |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Meadows Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Marcella Gravalese (COO) |
| Authorized Official Contact | 5619957800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Medical Group North 800 Meadows Rd Boca Raton FL 33486-2304 Ph: (561) 955-3593 | Baptist Health Medical Group North 800 Meadows Rd Boca Raton FL 33486-2304 Ph: (561) 955-3593 |
| NPI Number | 1104058940 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 01/11/2024 |
| Medicare PECOS PAC ID | 3870633753 |
|---|---|
| Medicare Enrollment ID | O20091228000461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104058940 | NPI | - | NPPES |
| Provider Name | Rachel S Eidelman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518941012 PECOS PAC ID: 6507851136 Enrollment ID: I20040414001885 |
| Provider Name | Cheryl Moss Mellman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194755645 PECOS PAC ID: 3375530728 Enrollment ID: I20040427001755 |
| Provider Name | Man Q Le |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1457302580 PECOS PAC ID: 5991773962 Enrollment ID: I20040921000863 |
| Provider Name | Rashmi Benda |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750334769 PECOS PAC ID: 8820057284 Enrollment ID: I20041011000189 |
| Provider Name | Gilbert Jean Chidiac |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316979073 PECOS PAC ID: 2466412663 Enrollment ID: I20041012001457 |
| Provider Name | Louise E Morrell |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1558582213 PECOS PAC ID: 3971564220 Enrollment ID: I20041020001151 |
| Provider Name | Ignacio L Valdes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073591483 PECOS PAC ID: 4587628854 Enrollment ID: I20041116000921 |
| Provider Name | Gipsy M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790812980 PECOS PAC ID: 9537114947 Enrollment ID: I20050318000422 |
| Provider Name | Fotios D Vrionis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083640403 PECOS PAC ID: 7517994197 Enrollment ID: I20050726000309 |
| Provider Name | Ari Daniel Silverstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548282007 PECOS PAC ID: 7517995442 Enrollment ID: I20050801000873 |
| Provider Name | Aaron L Klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790708261 PECOS PAC ID: 9830115252 Enrollment ID: I20051014000664 |
| Provider Name | Evan M Packer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114985884 PECOS PAC ID: 0042238032 Enrollment ID: I20051108000836 |
| Provider Name | Burak Ilsin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295703015 PECOS PAC ID: 1456372036 Enrollment ID: I20051210000016 |
| Provider Name | Alan M Saitowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205949831 PECOS PAC ID: 1456374016 Enrollment ID: I20060110000177 |
| Provider Name | Jose Yeguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497771323 PECOS PAC ID: 9335144401 Enrollment ID: I20060922000493 |
| Provider Name | Seif M Elbualy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881644979 PECOS PAC ID: 9739185828 Enrollment ID: I20061012000487 |
| Provider Name | Angelos N Manganiotis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194720268 PECOS PAC ID: 1355444746 Enrollment ID: I20070305000376 |
| Provider Name | Richard G Cartledge |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326034323 PECOS PAC ID: 8325141237 Enrollment ID: I20070314000346 |
| Provider Name | Anurag Agarwal |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962482836 PECOS PAC ID: 6507960101 Enrollment ID: I20070409000054 |
| Provider Name | Stephen E Steinberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831284165 PECOS PAC ID: 6709784895 Enrollment ID: I20070516000304 |
| Provider Name | Matthew Moore |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861489056 PECOS PAC ID: 6507945185 Enrollment ID: I20080507000549 |
| Provider Name | Melvin Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689766651 PECOS PAC ID: 1052213949 Enrollment ID: I20080905000139 |
| Provider Name | Alan L Saperstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316047525 PECOS PAC ID: 2365516762 Enrollment ID: I20080905000205 |
| Provider Name | Samer A Fahmy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982804555 PECOS PAC ID: 7416045026 Enrollment ID: I20090211000799 |
| Provider Name | Avraham Belizon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164687893 PECOS PAC ID: 1658438601 Enrollment ID: I20090319000226 |
| Provider Name | Robert Derhagopian |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1225095227 PECOS PAC ID: 0547327421 Enrollment ID: I20090319000546 |
| Provider Name | Dawn H Sherling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396702700 PECOS PAC ID: 8527004092 Enrollment ID: I20090326000283 |
| Provider Name | Allen D Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578772828 PECOS PAC ID: 0648329631 Enrollment ID: I20090803000036 |
| Provider Name | Sujai D Nath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255337382 PECOS PAC ID: 1052376498 Enrollment ID: I20091105000256 |
| Provider Name | Carolyn T Kubiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740226141 PECOS PAC ID: 9931249885 Enrollment ID: I20091228000245 |
| Provider Name | Alexander Kulik |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558524967 PECOS PAC ID: 7315009776 Enrollment ID: I20100512000798 |
| Provider Name | David Taub |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891804696 PECOS PAC ID: 7911902655 Enrollment ID: I20100616000100 |
| Provider Name | Andrew S Ross |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1306834452 PECOS PAC ID: 3274633094 Enrollment ID: I20100727000540 |
| Provider Name | Jessica W Mcafee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154645943 PECOS PAC ID: 1052444262 Enrollment ID: I20100809000184 |
| Provider Name | John Motta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619965928 PECOS PAC ID: 2860517661 Enrollment ID: I20100916001154 |
| Provider Name | Raymond J Leveillee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215966882 PECOS PAC ID: 9739204330 Enrollment ID: I20100920001079 |
| Provider Name | Woongchae A Lee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1659312700 PECOS PAC ID: 6800088733 Enrollment ID: I20101008001217 |
| Provider Name | Vicki V Britton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376703058 PECOS PAC ID: 3173661329 Enrollment ID: I20101103000708 |
| Provider Name | Michael E Kasper |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962458281 PECOS PAC ID: 9537128988 Enrollment ID: I20110104000313 |
| Provider Name | Ingrid C Jones-ince |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831410174 PECOS PAC ID: 7315127149 Enrollment ID: I20110210000468 |
| Provider Name | Raphael J Wald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205145174 PECOS PAC ID: 9032390190 Enrollment ID: I20110311000597 |
| Provider Name | Thomas C Hammond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629019799 PECOS PAC ID: 7416127659 Enrollment ID: I20110826000340 |
| Provider Name | Marc Arthur Swerdloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366483307 PECOS PAC ID: 8325218563 Enrollment ID: I20110826000448 |
| Provider Name | Edyta Krzak-mularczyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629080023 PECOS PAC ID: 4486618246 Enrollment ID: I20110914000657 |
| Provider Name | Karin Blumofe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518074053 PECOS PAC ID: 8628159811 Enrollment ID: I20111222000554 |
| Provider Name | Lauresha Hysa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265462329 PECOS PAC ID: 7517963663 Enrollment ID: I20120605000742 |
| Provider Name | Michele L Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053589184 PECOS PAC ID: 6406010602 Enrollment ID: I20120620000401 |
| Provider Name | Jennifer Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689832362 PECOS PAC ID: 2961675376 Enrollment ID: I20120628000305 |
| Provider Name | Justin Madison Weatherall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669677928 PECOS PAC ID: 6507043320 Enrollment ID: I20120809000890 |
| Provider Name | Sameea Husain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518160852 PECOS PAC ID: 8426220237 Enrollment ID: I20120919000595 |
| Provider Name | Miguel Angel Lopez-viego |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457410920 PECOS PAC ID: 5193775450 Enrollment ID: I20121008000319 |
| Provider Name | Michael A Cohn |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1437349248 PECOS PAC ID: 1456527332 Enrollment ID: I20121205000186 |
| Provider Name | Stanton F Dodson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942238803 PECOS PAC ID: 7113912577 Enrollment ID: I20130607000289 |
| Provider Name | Elias Dakwar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801095609 PECOS PAC ID: 3375785686 Enrollment ID: I20130816000323 |
| Provider Name | James R Ross |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295926731 PECOS PAC ID: 3779719950 Enrollment ID: I20140225002238 |
| Provider Name | Thomas P Morrissey |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1720058571 PECOS PAC ID: 6204927155 Enrollment ID: I20140819002611 |
| Provider Name | Stacy P Rubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740574243 PECOS PAC ID: 9335367945 Enrollment ID: I20140822002431 |
| Provider Name | Youssef Zeidan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508093071 PECOS PAC ID: 7315169877 Enrollment ID: I20141118000657 |
| Provider Name | Dana L Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780995456 PECOS PAC ID: 9931389095 Enrollment ID: I20150507000987 |
| Provider Name | Laurice H Gabriel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104089226 PECOS PAC ID: 0648440024 Enrollment ID: I20150515001592 |
| Provider Name | Lisa C Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659574226 PECOS PAC ID: 8628252863 Enrollment ID: I20150713002645 |
| Provider Name | Kirin K Syed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770895864 PECOS PAC ID: 4981911542 Enrollment ID: I20150914002617 |
| Provider Name | Jason M Perry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518257666 PECOS PAC ID: 3375765647 Enrollment ID: I20150915003161 |
| Provider Name | Jordan S Moseson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790060754 PECOS PAC ID: 0648406439 Enrollment ID: I20151030001477 |
| Provider Name | Reagan L Ross |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760640205 PECOS PAC ID: 1658514799 Enrollment ID: I20151112001538 |
| Provider Name | Christina A Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346409463 PECOS PAC ID: 7315115201 Enrollment ID: I20151119001598 |
| Provider Name | Andrew L Savin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811000391 PECOS PAC ID: 4385628957 Enrollment ID: I20160111000453 |
| Provider Name | Joseph Jose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134326150 PECOS PAC ID: 3577654698 Enrollment ID: I20160201002090 |
| Provider Name | Kerline Prospere-daceus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124457361 PECOS PAC ID: 5193020840 Enrollment ID: I20160218000693 |
| Provider Name | Gincy L Kandankulam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477883965 PECOS PAC ID: 6204011968 Enrollment ID: I20160601002240 |
| Provider Name | Touqir Zahra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699751552 PECOS PAC ID: 2769492305 Enrollment ID: I20160622002624 |
| Provider Name | Eileen C De Grandis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1336379478 PECOS PAC ID: 4082809165 Enrollment ID: I20160711001074 |
| Provider Name | Anthony Miniaci |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407891781 PECOS PAC ID: 4981603065 Enrollment ID: I20160802002981 |
| Provider Name | Yankel Girshman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497040240 PECOS PAC ID: 3779870274 Enrollment ID: I20160927002749 |
| Provider Name | Cornelia Charles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942569876 PECOS PAC ID: 2062700289 Enrollment ID: I20161004000870 |
| Provider Name | Elizabeth A Babin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518924133 PECOS PAC ID: 3173676756 Enrollment ID: I20161019001949 |
| Provider Name | Pooja S Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740555945 PECOS PAC ID: 6406125285 Enrollment ID: I20170711000996 |
| Provider Name | Joshua B Rothenberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346515020 PECOS PAC ID: 2668755869 Enrollment ID: I20170817000728 |
| Provider Name | Marc Gibber |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821113788 PECOS PAC ID: 5698993996 Enrollment ID: I20170929002158 |
| Provider Name | Neena Ann Yoyakey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336588599 PECOS PAC ID: 8123310505 Enrollment ID: I20180109001362 |
| Provider Name | Anna V Rosenbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417116559 PECOS PAC ID: 9032353008 Enrollment ID: I20180216001096 |
| Provider Name | Dawn C Blackshear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467976423 PECOS PAC ID: 9830450600 Enrollment ID: I20180220000378 |
| Provider Name | Samuel Richter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457617326 PECOS PAC ID: 8921369802 Enrollment ID: I20180312000811 |
| Provider Name | Allison Hollabaugh Ferris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811157506 PECOS PAC ID: 4284787086 Enrollment ID: I20180524000814 |
| Provider Name | Timothy Miller |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841566262 PECOS PAC ID: 5991050585 Enrollment ID: I20180622001448 |
| Provider Name | John Robert Roberts |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205834777 PECOS PAC ID: 0345373882 Enrollment ID: I20180710003392 |
| Provider Name | Sachin Sule |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477573038 PECOS PAC ID: 9537150792 Enrollment ID: I20180713001878 |
| Provider Name | Carlos M Victorica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396945648 PECOS PAC ID: 0648354340 Enrollment ID: I20181127002268 |
| Provider Name | Brian Snelling |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730478447 PECOS PAC ID: 9032453733 Enrollment ID: I20181206002897 |
| Provider Name | David G. Forcione |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093796914 PECOS PAC ID: 9133105919 Enrollment ID: I20190103002797 |
| Provider Name | Yecena Castaneda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891205530 PECOS PAC ID: 0941560031 Enrollment ID: I20190108001144 |
| Provider Name | Carline Jean-philippe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154827384 PECOS PAC ID: 7810234119 Enrollment ID: I20190124001560 |
| Provider Name | Kerry-ann C Mcdonald |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1164651055 PECOS PAC ID: 4688912371 Enrollment ID: I20190204003050 |
| Provider Name | Daniel S Gutman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609294966 PECOS PAC ID: 6406156462 Enrollment ID: I20190319001411 |
| Provider Name | Jill L Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861053852 PECOS PAC ID: 0547597247 Enrollment ID: I20190802001466 |
| Provider Name | Ora Charm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366992836 PECOS PAC ID: 8022347624 Enrollment ID: I20190906002104 |
| Provider Name | Ivonn K Mosquera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689224446 PECOS PAC ID: 3577995349 Enrollment ID: I20191115002138 |
| Provider Name | Svetlana Faktorovich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457790404 PECOS PAC ID: 9335490069 Enrollment ID: I20191127001586 |
| Provider Name | Heather M Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447215785 PECOS PAC ID: 2163571464 Enrollment ID: I20200108002628 |
| Provider Name | Alexander D Gaukhman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134548019 PECOS PAC ID: 3375761240 Enrollment ID: I20200820000935 |
| Provider Name | Patricia Jacobs |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1427078658 PECOS PAC ID: 3678759826 Enrollment ID: I20200824002864 |
| Provider Name | Aidan D Hamm |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275976839 PECOS PAC ID: 7517279482 Enrollment ID: I20200904000115 |
| Provider Name | Hilary Shapiro-wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417163452 PECOS PAC ID: 8729276282 Enrollment ID: I20200921000069 |
| Provider Name | Jaclynn Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518501394 PECOS PAC ID: 7810318094 Enrollment ID: I20210203002540 |
| Provider Name | Liana H Barkan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992764476 PECOS PAC ID: 8527184084 Enrollment ID: I20210621002598 |
| Provider Name | Matthew A Motisi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831567130 PECOS PAC ID: 7810398856 Enrollment ID: I20210628002193 |
| Provider Name | Caitlin M Mcgann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558927467 PECOS PAC ID: 3870823487 Enrollment ID: I20210708001715 |
| Provider Name | Timothy Oconnor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639582869 PECOS PAC ID: 3678791530 Enrollment ID: I20210803000666 |
| Provider Name | Sara R Iskandar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104329242 PECOS PAC ID: 7113357815 Enrollment ID: I20210825000301 |
| Provider Name | Jamie Pare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558035709 PECOS PAC ID: 6204232747 Enrollment ID: I20210908001840 |
| Provider Name | Raymond Westbrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437103520 PECOS PAC ID: 6608766340 Enrollment ID: I20211026003555 |
| Provider Name | Gillian Trinette Generoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598108953 PECOS PAC ID: 9234422965 Enrollment ID: I20211027001693 |
| Provider Name | Catherine Michele Linton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336816263 PECOS PAC ID: 0941608129 Enrollment ID: I20211102000969 |
| Provider Name | Yania Vilarino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982376885 PECOS PAC ID: 4688064702 Enrollment ID: I20211203002592 |
| Provider Name | Eduardo Quintero Nazario |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306133988 PECOS PAC ID: 8426329947 Enrollment ID: I20211208002102 |
| Provider Name | Hina Saeed |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265708606 PECOS PAC ID: 2769701630 Enrollment ID: I20220208000055 |
| Provider Name | Thomas Lubin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174533988 PECOS PAC ID: 7315942844 Enrollment ID: I20220308000958 |
| Provider Name | Ben Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457991911 PECOS PAC ID: 5890180756 Enrollment ID: I20220312000125 |
| Provider Name | Claudia C Corrales Sanchez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487886586 PECOS PAC ID: 7719107259 Enrollment ID: I20220421002354 |
| Provider Name | Carlie Cooksey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316551823 PECOS PAC ID: 0143629832 Enrollment ID: I20220701000014 |
| Provider Name | Rennier Alejandro Martinez |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871987057 PECOS PAC ID: 7012280035 Enrollment ID: I20220726001036 |
| Provider Name | Ionut Cristian Albu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568924876 PECOS PAC ID: 9638551815 Enrollment ID: I20220804001287 |
| Provider Name | Jeffrey Michael Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700317153 PECOS PAC ID: 7315289386 Enrollment ID: I20220805002997 |
| Provider Name | Stephane Buteau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013458215 PECOS PAC ID: 7810307972 Enrollment ID: I20220910000645 |
| Provider Name | Nicholas Cortolillo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437543816 PECOS PAC ID: 4082988944 Enrollment ID: I20220916002504 |
| Provider Name | Ashley Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750843140 PECOS PAC ID: 3274918859 Enrollment ID: I20220919000090 |
| Provider Name | Olinda I Verdecie Feria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255838926 PECOS PAC ID: 8820345127 Enrollment ID: I20220929001138 |
| Provider Name | Sandy Dorival |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689309510 PECOS PAC ID: 1254709769 Enrollment ID: I20221114003061 |
| Provider Name | Karen Inzirillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548968993 PECOS PAC ID: 8921463522 Enrollment ID: I20230504001222 |
| Provider Name | Amy W Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255863148 PECOS PAC ID: 8921356882 Enrollment ID: I20230519002842 |
| Provider Name | Harold Huss |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1982840971 PECOS PAC ID: 4789734633 Enrollment ID: I20230522001918 |
| Provider Name | Rebecca Knabenshue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033783220 PECOS PAC ID: 1052713708 Enrollment ID: I20230705001956 |
| Provider Name | Michael Vincent Mamone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104453190 PECOS PAC ID: 6103248745 Enrollment ID: I20230727003802 |
| Provider Name | Joseph T Mcginn |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063832178 PECOS PAC ID: 2769727312 Enrollment ID: I20230731004017 |
| Provider Name | Hebnise Eugene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891220620 PECOS PAC ID: 6002277522 Enrollment ID: I20230801001044 |
| Provider Name | Alex Mafdali |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1942760947 PECOS PAC ID: 5193055275 Enrollment ID: I20230801003470 |
| Provider Name | Layla Nigar Jamil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104510056 PECOS PAC ID: 5395109516 Enrollment ID: I20230906003808 |
| Provider Name | Monica Weinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457350357 PECOS PAC ID: 3072585157 Enrollment ID: I20230919000257 |
| Provider Name | Inna Yaskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316965353 PECOS PAC ID: 7810940707 Enrollment ID: I20231013002066 |
| Provider Name | Warren Selman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679599542 PECOS PAC ID: 0042103145 Enrollment ID: I20231103002730 |
| Provider Name | Gediminas Gliebus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174789044 PECOS PAC ID: 6901938893 Enrollment ID: I20240218000154 |
| Provider Name | Nathaniel Mcelhaney |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588845028 PECOS PAC ID: 0446406490 Enrollment ID: I20240220000582 |
| Provider Name | Andrew William Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932511540 PECOS PAC ID: 5799904595 Enrollment ID: I20240222001105 |
| Provider Name | Xiaojuan Zheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922444710 PECOS PAC ID: 2860783008 Enrollment ID: I20240227000110 |
| Provider Name | Biana Manchik-schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457736977 PECOS PAC ID: 7315254372 Enrollment ID: I20240312003054 |
Boca Integrative Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 W Camino Real, Ste. 207, Boca Raton, FL 33433 Phone: 561-391-2770 Fax: 561-391-2930 | |
Proactive Medical Solutions Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17808 Key Vista Way, Boca Raton, FL 33496 Phone: 646-456-4407 Fax: 888-254-2756 | |
Michelle Y Bruzzo Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 Clint Moore Rd, Suite 302, Boca Raton, FL 33496 Phone: 561-988-5387 Fax: 561-988-5388 | |
Gjorgji Trnovski Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 Nw 15th St, Suite 215a, Boca Raton, FL 33486 Phone: 561-955-1890 Fax: 561-392-8103 | |
Tamara Liss Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 Meadows Rd, Suite 103, Boca Raton, FL 33486 Phone: 561-347-9044 Fax: 561-347-9043 | |
Daniel Ohara M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 660 Glades Rd, Suite # 380, Boca Raton, FL 33431 Phone: 561-393-1994 Fax: 561-393-2445 | |
Royal Family Medicine Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3886 Candlewood Blvd, Boca Raton, FL 33487 Phone: 787-415-8405 |