| Israel Machin Md Pa | |
|
1511 Forest Hill Blvd Suite C Lake Clarke Shores FL 33406-6077 | |
| (561) 433-3556 | |
| (561) 967-5559 |
| Full Name | Israel Machin Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 1511 Forest Hill Blvd, Lake Clarke Shores, Florida |
| Authorized Official Name and Position | Israel Machin (OWNER) |
| Authorized Official Contact | 5614333556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Israel Machin Md Pa 1511 Forest Hill Blvd Suite C Lake Clarke Shores FL 33406-6077 Ph: (561) 433-3556 | Israel Machin Md Pa 1511 Forest Hill Blvd Suite C Lake Clarke Shores FL 33406-6077 Ph: (561) 433-3556 |
| NPI Number | 1104989342 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 06/30/2008 |
| Medicare PECOS PAC ID | 7719082262 |
|---|---|
| Medicare Enrollment ID | O20070416000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104989342 | NPI | - | NPPES |
| AB648 | Other | FL | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Israel Machin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295711349 PECOS PAC ID: 8224073390 Enrollment ID: I20050621000183 |
| Provider Name | Andres A Albornoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295119709 PECOS PAC ID: 0042502635 Enrollment ID: I20160629002322 |
| Provider Name | Daniel Pino Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316302789 PECOS PAC ID: 8325329956 Enrollment ID: I20161220000115 |
| Provider Name | Carlos Reyes Chouza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174092035 PECOS PAC ID: 0840521738 Enrollment ID: I20191007003576 |
| Provider Name | Maylee Perez Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861069627 PECOS PAC ID: 1456760578 Enrollment ID: I20211129002494 |
| Provider Name | Yanet Plutin Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568203818 PECOS PAC ID: 3274066568 Enrollment ID: I20241024003069 |
Flagler Square Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1840 Forest Hill Blvd, Suite 201, Lake Clarke Shores, FL 33406 Phone: 305-698-4000 Fax: 305-698-4014 |