| Personal Physician Management Group Of Hallandale, Inc. | |
|
2100 E Hallandale Beach Blvd Suite # 307 Hallandale Beach FL 33009-3765 | |
| (954) 454-9055 | |
| (954) 454-9890 |
| Full Name | Personal Physician Management Group Of Hallandale, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2100 E Hallandale Beach Blvd, Hallandale Beach, Florida |
| Authorized Official Name and Position | David Neuman (PRESIDENT) |
| Authorized Official Contact | 5614985660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personal Physician Management Group Of Hallandale, Inc. 4800 Linton Blvd Ste F107 Delray Beach FL 33445-6506 Ph: (561) 498-5660 | Personal Physician Management Group Of Hallandale, Inc. 2100 E Hallandale Beach Blvd Suite # 307 Hallandale Beach FL 33009-3765 Ph: (954) 454-9055 |
| NPI Number | 1043751068 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/09/2017 |
| Medicare PECOS PAC ID | 4789958463 |
|---|---|
| Medicare Enrollment ID | O20170919001907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043751068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Janka K Baiza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003082967 PECOS PAC ID: 1658430392 Enrollment ID: I20081110000475 |
| Provider Name | David Neuman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407896350 PECOS PAC ID: 7618870080 Enrollment ID: I20101019001125 |
| Provider Name | Lior Uriel Elkayam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598808180 PECOS PAC ID: 8820287014 Enrollment ID: I20110104000342 |
| Provider Name | Gudelia J Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962827287 PECOS PAC ID: 4284957887 Enrollment ID: I20150107001563 |
| Provider Name | Aram Sarkisyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447760962 PECOS PAC ID: 8527321678 Enrollment ID: I20180424001896 |
| Provider Name | Regitha D Sebastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750898169 PECOS PAC ID: 8527313477 Enrollment ID: I20180615002378 |
| Provider Name | Tatyana Aliyeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992191407 PECOS PAC ID: 7810234614 Enrollment ID: I20190201001674 |
| Provider Name | Jill L Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861053852 PECOS PAC ID: 0547597247 Enrollment ID: I20190802001466 |
| Provider Name | Danielle Rachel Neuman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902268329 PECOS PAC ID: 9638403686 Enrollment ID: I20210820002801 |
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