| The Medical Group Of South Florida Inc | |
|
1094 Military Trl Jupiter FL 33458-7021 | |
| (561) 622-6111 | |
| (561) 622-1176 |
| Full Name | The Medical Group Of South Florida Inc |
|---|---|
| Speciality | Specialist |
| Location | 1094 Military Trl, Jupiter, Florida |
| Authorized Official Name and Position | Joshua K Smith (OWNER) |
| Authorized Official Contact | 5616226111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Medical Group Of South Florida Inc 1094 Military Trl Jupiter FL 33458-7021 Ph: (561) 622-6111 | The Medical Group Of South Florida Inc 1094 Military Trl Jupiter FL 33458-7021 Ph: (561) 622-6111 |
| NPI Number | 1225179450 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 03/31/2021 |
| Medicare PECOS PAC ID | 8426079328 |
|---|---|
| Medicare Enrollment ID | O20051207000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225179450 | NPI | - | NPPES |
| 000S2 | Other | FL | BCBS |
| 002251800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
| Provider Name | Avishai Mendelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760476477 PECOS PAC ID: 5698768224 Enrollment ID: I20040426001965 |
| Provider Name | Morgan Robert Poncy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891716056 PECOS PAC ID: 9032106414 Enrollment ID: I20040428000225 |
| Provider Name | Amir Lubarsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245219047 PECOS PAC ID: 4981661964 Enrollment ID: I20050321000472 |
| Provider Name | Sarah L Ford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285778027 PECOS PAC ID: 1658392550 Enrollment ID: I20051207000538 |
| Provider Name | Luis S Ulloa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457318636 PECOS PAC ID: 3779688338 Enrollment ID: I20070410000716 |
| Provider Name | Bruce M Eisenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982689246 PECOS PAC ID: 4587576921 Enrollment ID: I20071004000785 |
| Provider Name | Richard A Gorman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174555403 PECOS PAC ID: 9234225814 Enrollment ID: I20071011000616 |
| Provider Name | Seth D Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023159373 PECOS PAC ID: 3678603099 Enrollment ID: I20100611000181 |
| Provider Name | Dennis E Hanney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669411484 PECOS PAC ID: 9830376706 Enrollment ID: I20110601000438 |
| Provider Name | Paula A Newmark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215935390 PECOS PAC ID: 0547431512 Enrollment ID: I20111011000678 |
| Provider Name | Shelley G Roque-lichtig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265875249 PECOS PAC ID: 3173742608 Enrollment ID: I20140916001971 |
| Provider Name | Michael W Hall |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386931764 PECOS PAC ID: 4789993635 Enrollment ID: I20151016000372 |
| Provider Name | Isabel Bueno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194085415 PECOS PAC ID: 8123337433 Enrollment ID: I20151027000870 |
| Provider Name | Ariel Lepoff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508249244 PECOS PAC ID: 2466708300 Enrollment ID: I20180706000711 |
| Provider Name | Jose Cardoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386037224 PECOS PAC ID: 6507151412 Enrollment ID: I20180726003052 |
| Provider Name | Dairo Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073992947 PECOS PAC ID: 6800101114 Enrollment ID: I20180823002087 |
| Provider Name | Miral A Subhani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588977409 PECOS PAC ID: 9335365592 Enrollment ID: I20181005002767 |
| Provider Name | Isis Flavia Manhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801168281 PECOS PAC ID: 4981982691 Enrollment ID: I20181012002160 |
| Provider Name | Angela B Richter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952764573 PECOS PAC ID: 7618264268 Enrollment ID: I20210602000150 |
Md Now Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1697 W Indiantown Rd, Jupiter, FL 33458 Phone: 561-300-4123 Fax: 866-816-0932 | |
Bruce H Berman,md,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 W Indiantown Rd, Suite 100, Jupiter, FL 33458 Phone: 561-935-1090 Fax: 561-935-1080 | |
Nu Forme Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Heritage Dr Ste 210, Jupiter, FL 33458 Phone: 561-295-8115 Fax: 561-437-8176 | |
Reunion Health Professional Limited Liability Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Hardwood Pt, Jupiter, FL 33458 Phone: 305-725-8258 Fax: 561-408-4165 | |
Flomed Infusion Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 W Indiantown Rd Ste 201, Jupiter, FL 33458 Phone: 561-559-9800 | |
Hangover Iv & Beauty Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Military Trl Ste 110, Jupiter, FL 33458 Phone: 561-774-3443 Fax: 561-630-6011 | |
Obct Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 W Indiantown Rd Ste 203b, Jupiter, FL 33458 Phone: 313-515-0710 Fax: 888-494-2192 |