| 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 |
| Certification 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 | Louise E Morrell |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1558582213 PECOS PAC ID: 3971564220 Enrollment ID: I20041020001151 |
| Provider Name | Tara E Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306884796 PECOS PAC ID: 2860447216 Enrollment ID: I20050317001020 |
| 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 | Jolene M Piazza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053381459 PECOS PAC ID: 1557381100 Enrollment ID: I20051129000333 |
| 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 | Julie a Gelms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346269453 PECOS PAC ID: 5294707881 Enrollment ID: I20061127000057 |
| 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 | Kfir Ben-david |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144234881 PECOS PAC ID: 0446255350 Enrollment ID: I20071018000764 |
| Provider Name | Matthew Moore |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861489056 PECOS PAC ID: 6507945185 Enrollment ID: I20080507000549 |
| Provider Name | Marlene E Cepeda-goodwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164608824 PECOS PAC ID: 7416976436 Enrollment ID: I20080508000047 |
| 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 | Deborah J Diaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568613479 PECOS PAC ID: 2567521123 Enrollment ID: I20081111000668 |
| 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 | 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 | Anthony J Salvador |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609802008 PECOS PAC ID: 5890821979 Enrollment ID: I20100327000595 |
| 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 | Michael E Kasper |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962458281 PECOS PAC ID: 9537128988 Enrollment ID: I20110104000313 |
| Provider Name | Raphael J Wald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205145174 PECOS PAC ID: 9032390190 Enrollment ID: I20110311000597 |
| Provider Name | Marcos a Nores |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598767543 PECOS PAC ID: 0143124222 Enrollment ID: I20110608000481 |
| 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 | 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 | Harris Gellman |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1316053606 PECOS PAC ID: 4981670304 Enrollment ID: I20120919000723 |
| 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 | Tapaswini Trivedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215972021 PECOS PAC ID: 6305852229 Enrollment ID: I20121025000625 |
| Provider Name | Michael a Cohn |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1437349248 PECOS PAC ID: 1456527332 Enrollment ID: I20121205000186 |
| Provider Name | Derek a Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962746172 PECOS PAC ID: 6608014295 Enrollment ID: I20130520000686 |
| 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 | Jenna D Freitag |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992045686 PECOS PAC ID: 0244464428 Enrollment ID: I20130930000609 |
| Provider Name | Scott M Hoffman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093146854 PECOS PAC ID: 3577790690 Enrollment ID: I20131217001935 |
| 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 | Youssef Zeidan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508093071 PECOS PAC ID: 7315169877 Enrollment ID: I20141118000657 |
| Provider Name | Yalonda Nachole Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255747796 PECOS PAC ID: 6709100100 Enrollment ID: I20150113000420 |
| 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 - Sports Medicine |
| Provider Identifiers | NPI Number: 1518257666 PECOS PAC ID: 3375765647 Enrollment ID: I20150915003161 |
| Provider Name | Julian Guia-garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558606392 PECOS PAC ID: 3173831328 Enrollment ID: I20151007002822 |
| 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 - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346409463 PECOS PAC ID: 7315115201 Enrollment ID: I20151119001598 |
| Provider Name | Joseph Jose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134326150 PECOS PAC ID: 3577654698 Enrollment ID: I20160201002090 |
| Provider Name | Nikolaus W Pankow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194043315 PECOS PAC ID: 7113153487 Enrollment ID: I20160216002573 |
| 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 | 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 | Victoria J Verrengia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770039315 PECOS PAC ID: 0547548729 Enrollment ID: I20161021001375 |
| Provider Name | Julie F Moreno Falk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679027353 PECOS PAC ID: 2365724176 Enrollment ID: I20170130003087 |
| Provider Name | Michael Adam Selepec |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235687690 PECOS PAC ID: 5092092973 Enrollment ID: I20170502000614 |
| Provider Name | Pooja S Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740555945 PECOS PAC ID: 6406125285 Enrollment ID: I20170711000996 |
| Provider Name | Rachel Pyngolil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376955104 PECOS PAC ID: 1456578889 Enrollment ID: I20170906001848 |
| Provider Name | Sunil M Chauhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912922881 PECOS PAC ID: 5698705408 Enrollment ID: I20170908000633 |
| Provider Name | Constance Vasiliki Katsafanas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811255300 PECOS PAC ID: 6002128790 Enrollment ID: I20170915000818 |
| Provider Name | Neena Ann Yoyakey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336588599 PECOS PAC ID: 8123310505 Enrollment ID: I20180109001362 |
| Provider Name | Ilana Vance |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942746037 PECOS PAC ID: 8123387123 Enrollment ID: I20180119002779 |
| Provider Name | Jennifer Ariel Knips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093185670 PECOS PAC ID: 8921367855 Enrollment ID: I20180122001865 |
| Provider Name | Anna Rosenbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417116559 PECOS PAC ID: 9032353008 Enrollment ID: I20180216001096 |
| Provider Name | Samuel Richter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457617326 PECOS PAC ID: 8921369802 Enrollment ID: I20180312000811 |
| Provider Name | Giuseppe Paese |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306882576 PECOS PAC ID: 2062419435 Enrollment ID: I20180418002587 |
| Provider Name | Tamika Denee Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457861080 PECOS PAC ID: 5395009187 Enrollment ID: I20180502001933 |
| 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 | Sachin Sule |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477573038 PECOS PAC ID: 9537150792 Enrollment ID: I20180713001878 |
| Provider Name | Rejo Cherian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134567118 PECOS PAC ID: 8325358872 Enrollment ID: I20180829004270 |
| Provider Name | Carlos M Victorica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396945648 PECOS PAC ID: 0648354340 Enrollment ID: I20181127002268 |
| Provider Name | Ana I Galvan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184107286 PECOS PAC ID: 8527302793 Enrollment ID: I20181129001855 |
| Provider Name | Amrika Maharaj |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851891428 PECOS PAC ID: 1951645795 Enrollment ID: I20181204003616 |
| Provider Name | Brian Snelling |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730478447 PECOS PAC ID: 9032453733 Enrollment ID: I20181206002897 |
| Provider Name | Kayla Lynn Ventura |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972088706 PECOS PAC ID: 8527302181 Enrollment ID: I20181207002267 |
| 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 | Megan Reid Kann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568852721 PECOS PAC ID: 4183913254 Enrollment ID: I20190201001469 |
| 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 | Genevieve Kornblum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407322308 PECOS PAC ID: 9537408810 Enrollment ID: I20190304002307 |
| Provider Name | Daniel S Gutman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609294966 PECOS PAC ID: 6406156462 Enrollment ID: I20190319001411 |
| 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 | Hayley Fultz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548811094 PECOS PAC ID: 6507291069 Enrollment ID: I20200110002455 |
| Provider Name | Alisha Goldberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447800701 PECOS PAC ID: 3779918685 Enrollment ID: I20200123001645 |
| Provider Name | Alexa Ely Maziuk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053941625 PECOS PAC ID: 4183050024 Enrollment ID: I20200212001488 |
| Provider Name | Isel Huelbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689144636 PECOS PAC ID: 4981031655 Enrollment ID: I20200219002149 |
| Provider Name | Hannah C Reed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881238814 PECOS PAC ID: 4183051758 Enrollment ID: I20200219002978 |
| Provider Name | Nikola Jovanovic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417332438 PECOS PAC ID: 1557657699 Enrollment ID: I20200430002524 |
| 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 | Elizabeth Anne Huminski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780147280 PECOS PAC ID: 0244650042 Enrollment ID: I20201016000827 |
| Provider Name | Joshua B Prewitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063039576 PECOS PAC ID: 9638599111 Enrollment ID: I20201022000717 |
| Provider Name | Jophin Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831725225 PECOS PAC ID: 2365856531 Enrollment ID: I20210129000064 |
| Provider Name | Jaclynn Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518501394 PECOS PAC ID: 7810318094 Enrollment ID: I20210203002540 |
| Provider Name | Margeaux L German |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558969998 PECOS PAC ID: 4789090606 Enrollment ID: I20210301001863 |
| Provider Name | Matthew a Motisi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831567130 PECOS PAC ID: 7810398856 Enrollment ID: I20210628002193 |
| 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 | Catherine Michele Palacios |
|---|---|
| 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 | Andrew Grant Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326668989 PECOS PAC ID: 8628468311 Enrollment ID: I20211213001718 |
| Provider Name | Margaret Anne Cosmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790453967 PECOS PAC ID: 3971996711 Enrollment ID: I20220131001738 |
| 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 | 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 | Julie Handscombe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841888971 PECOS PAC ID: 9830569565 Enrollment ID: I20221221001379 |
| Provider Name | Robert Henry Press |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427477231 PECOS PAC ID: 3870896145 Enrollment ID: I20230209001364 |
| Provider Name | Paula Galvan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972191013 PECOS PAC ID: 0446623508 Enrollment ID: I20230310001621 |
| Provider Name | Karen Inzirillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548968993 PECOS PAC ID: 8921463522 Enrollment ID: I20230504001222 |
| Provider Name | Amy Wei-hsin Laitinen |
|---|---|
| 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 | Santana St. Remy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144819277 PECOS PAC ID: 8921466061 Enrollment ID: I20230621002212 |
| Provider Name | Joseph T Mcginn |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063832178 PECOS PAC ID: 2769727312 Enrollment ID: I20230731004017 |
| Provider Name | Alex Mafdali |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1942760947 PECOS PAC ID: 5193055275 Enrollment ID: I20230801003470 |
| Provider Name | Daniel Rodriguez Velez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306333984 PECOS PAC ID: 7214310028 Enrollment ID: I20230808001224 |
| 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 | Warren Selman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679599542 PECOS PAC ID: 0042103145 Enrollment ID: I20231103002730 |
| Provider Name | Marca Alexander |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609828060 PECOS PAC ID: 3173527264 Enrollment ID: I20231108003956 |
| Provider Name | Estrellita Marte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417322074 PECOS PAC ID: 7517317282 Enrollment ID: I20231220003034 |
| Provider Name | Sagar Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205002276 PECOS PAC ID: 8426228461 Enrollment ID: I20240131002711 |
| Provider Name | Gediminas Gliebus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174789044 PECOS PAC ID: 6901938893 Enrollment ID: I20240218000154 |
| Provider Name | Andrew William Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932511540 PECOS PAC ID: 5799904595 Enrollment ID: I20240222001105 |
| Provider Name | Biana Manchik-schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457736977 PECOS PAC ID: 7315254372 Enrollment ID: I20240312003054 |
| Provider Name | Ivo Pestana |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1881861730 PECOS PAC ID: 8022141878 Enrollment ID: I20240401002084 |
| Provider Name | Sabrina Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770209009 PECOS PAC ID: 4385083435 Enrollment ID: I20240422002744 |
| Provider Name | Melody Michelle Woo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669197596 PECOS PAC ID: 0345680252 Enrollment ID: I20240425001947 |
| Provider Name | Lia Groulx |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285404137 PECOS PAC ID: 2062852809 Enrollment ID: I20240426003284 |
| Provider Name | Joshua Heiman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740743434 PECOS PAC ID: 9234462185 Enrollment ID: I20240611003085 |
| Provider Name | Zack Ramilevich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568099851 PECOS PAC ID: 5890239982 Enrollment ID: I20240701000567 |
| Provider Name | Ross Ann Taylor |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1578122362 PECOS PAC ID: 0648502807 Enrollment ID: I20240702003494 |
| Provider Name | Pablo Ezequiel Ravenna |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255950788 PECOS PAC ID: 0749726255 Enrollment ID: I20240720000169 |
| Provider Name | George Guerrero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851978597 PECOS PAC ID: 9537569439 Enrollment ID: I20240722001170 |
| Provider Name | Rair Jose Valero |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902368608 PECOS PAC ID: 2668715962 Enrollment ID: I20240722004004 |
| Provider Name | Casey Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316549900 PECOS PAC ID: 2466847132 Enrollment ID: I20240806004240 |
| Provider Name | Mary Gustafson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255892998 PECOS PAC ID: 2668829730 Enrollment ID: I20240826000162 |
| Provider Name | Kenan Ashouri |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114417862 PECOS PAC ID: 9436403532 Enrollment ID: I20240828003316 |
| Provider Name | Roselys Ibanez Cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003496993 PECOS PAC ID: 2163822834 Enrollment ID: I20240926000647 |
| Provider Name | Daena Flaxman Erlich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710195961 PECOS PAC ID: 6204903156 Enrollment ID: I20240927002874 |
| Provider Name | Keneisha Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760069447 PECOS PAC ID: 9436551652 Enrollment ID: I20241016004671 |
| Provider Name | Christine Pestana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801209515 PECOS PAC ID: 3072933381 Enrollment ID: I20241018002450 |
| Provider Name | Juliana Torres |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053061911 PECOS PAC ID: 5890171185 Enrollment ID: I20241025000029 |
| Provider Name | Sarah Kelly Workman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689411621 PECOS PAC ID: 2466988431 Enrollment ID: I20241213001849 |
| Provider Name | Ahmed Alnahhas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255918728 PECOS PAC ID: 5496283384 Enrollment ID: I20250106001818 |
| Provider Name | Andrew S Zipp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407677388 PECOS PAC ID: 4789112681 Enrollment ID: I20250106002195 |
| Provider Name | James Michael Parkkonen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699333898 PECOS PAC ID: 6204160237 Enrollment ID: I20250106003693 |
| Provider Name | Evika Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386475440 PECOS PAC ID: 7911437272 Enrollment ID: I20250217000581 |
| Provider Name | Rachel Slotcavage |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750511655 PECOS PAC ID: 0446570626 Enrollment ID: I20250220002706 |
| Provider Name | Michael Zeidman |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1508108952 PECOS PAC ID: 2163776212 Enrollment ID: I20250326001890 |
| Provider Name | Hannah Fusaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063224129 PECOS PAC ID: 2860910403 Enrollment ID: I20250516002085 |
| Provider Name | Bradley Taylor |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1417923038 PECOS PAC ID: 1355391053 Enrollment ID: I20250625001120 |
| Provider Name | Nicanda Norrie Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043954472 PECOS PAC ID: 6608380555 Enrollment ID: I20250710003111 |
| Provider Name | Roxana Maria Dragomir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861070310 PECOS PAC ID: 8123533585 Enrollment ID: I20250715000772 |
| Provider Name | Neil Masangkay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427210004 PECOS PAC ID: 0840434635 Enrollment ID: I20250812000549 |
| Provider Name | Kevin John |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922684331 PECOS PAC ID: 9133537814 Enrollment ID: I20250818004219 |
| Provider Name | Ana Stella Hatzikonstantinou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023809860 PECOS PAC ID: 5698275790 Enrollment ID: I20250822003920 |
| Provider Name | Brittany Borbely |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306547468 PECOS PAC ID: 1951802875 Enrollment ID: I20250901000038 |
| Provider Name | Gabriella Bonfante |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760188726 PECOS PAC ID: 6002319639 Enrollment ID: I20250910003987 |
| Provider Name | Enginova L Mastroti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265256366 PECOS PAC ID: 5395240055 Enrollment ID: I20250924001172 |
| Provider Name | Briana Dean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710866694 PECOS PAC ID: 5395242226 Enrollment ID: I20251008000767 |
| Provider Name | Danielle Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720970643 PECOS PAC ID: 9638669393 Enrollment ID: I20251110004023 |
| Provider Name | Melanie Diaz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265311435 PECOS PAC ID: 6204327828 Enrollment ID: I20251112000259 |
| Provider Name | Raj Singh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255836953 PECOS PAC ID: 0840525937 Enrollment ID: I20251229002647 |
| Provider Name | Alanna Sholomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710148127 PECOS PAC ID: 5193994077 Enrollment ID: I20251229003838 |
| Provider Name | Jocelyn Nole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447129903 PECOS PAC ID: 8426535816 Enrollment ID: I20260115003152 |
| Provider Name | Jennifer Olivia Yost |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336948876 PECOS PAC ID: 4082196290 Enrollment ID: I20260306000554 |
| Provider Name | May Milazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154615904 PECOS PAC ID: 2860648375 Enrollment ID: I20260530000238 |
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 |
Primary Care of South Florida Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 Nw 13th St Ste 3f, Boca Raton, FL 33486 Phone: 786-543-4194 Fax: 833-760-0885 |
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 |