DELRAY TRAUMA ASSOCIATES, PA (NPI# 1013166248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013166248 |
| Entity Type | Organization |
| Organization Name | DELRAY TRAUMA ASSOCIATES, PA |
| Practice Address |
5352 Linton Blvd Trauma Services Delray Beach FL 33484-6514 |
| Mailing Address |
Po Box 480159 Fort Lauderdale FL 33348-0159 |
| Practice Telephone | 5614953166 |
| Mailing Telephone | 9544910900 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | DR. IVAN PUENTE (PRESIDENT) |
| Authorized Official Telephone | 9544910900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | BROWARD SURGICAL ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME55971 | FL | Other Service Providers |
| Street Address |
5352 LINTON BLVD TRAUMA SERVICES |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33484-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790760734 | Craig H Thame | Radiology | 5352 Linton Blvd, Attn: Radiology Dept, Delray Beach, FL 33484-6514 | 2005-12-13 |
| 1588272975 | Ryan Michael Gore | Registered Nurse | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2020-07-21 |
| 1407483423 | Michael Edward Torres | Student in an Organized Health Care Education/Training Program | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2020-03-27 |
| 1700420239 | Mohammed Ayyash | Nurse Practitioner | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-10-28 |
| 1356990816 | Jenna Marianna Costa | Registered Nurse | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-09-08 |
| 1821654534 | Emily Komarczyk | Student in an Organized Health Care Education/Training Program | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-05-17 |
| 1629631148 | Sushant Tiwari | Nurse Anesthetist, Certified Registered | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-04-19 |
| 1386105138 | Phillip Azouz | Student in an Organized Health Care Education/Training Program | 5352 Linton Blvd, Delray Beach, FL 33484 | 2019-03-26 |
| 1013477256 | Allegra Condiotte | Student in an Organized Health Care Education/Training Program | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-03-22 |
| 1902364664 | Ethos Pathology, Inc | Pathology | 5352 Linton Blvd, Delray Beach, FL 33484-6514 | 2019-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316576127 | Christian Travis Wade Maxwell | Student in an Organized Health Care Education/Training Program | Fair Oaks Pavilion Rm 247, 5440 Linton Boulevard, Delray Beach, FL 33484 | 2020-04-03 |
| 1659833002 | Steven L Diamond | Internal Medicine | 5606 Vintage Oaks Terrace, Delray Beach, FL 33484 | 2019-04-04 |
| 1164905741 | Dana Correnti | Physician Assistant | 5210 Linton Blvd Ste 301, Delray Beach, FL 33484 | 2018-09-10 |
| 1891207924 | Philip Craig Davidoff | Music Therapist | 13859b Via Aurora, Delray Beach, FL 33484 | 2017-10-30 |
| 1265943963 | Megan Elizabeth Garvey-henaka | Social Worker | 14000 S. Military Trail Suite 204a, Delray Beach, FL 33484 | 2017-10-20 |
| 1558726984 | Nena Reloj Neron | Physical Therapist | 16089 Poppyseed Cir Unit 2018, Delray Beach, FL 33484 | 2015-12-30 |
| 1427430354 | Hannah Ilene Cardarelli | Physician Assistant | 14555 Springside Ln, Delray Beach, FL 33484 | 2015-06-27 |
| 1689055782 | Genesis Critical Care Associates, LLC | Internal Medicine | 5352 Linton Boulevard, Delray Beach, FL 33484 | 2015-06-15 |
| 1679980288 | Ashley Susan Lennan | Chiropractor | 14590 S Military Trl Bay Stee5, Delray Beach, FL 33484 | 2014-07-15 |
| 1104257211 | Jaime Agustin Catala | Internal Medicine | 5130 Linton Blvd Ste G1, Delray Beach, FL 33484 | 2013-11-29 |
| Find all providers in zip 33484 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566712 | Angela Berry Williams | Specialist | 5175 W Atlantic Ave Ste C, Delray Beach, FL 33484-8101 | 2020-07-23 |
| 1801304654 | Radiant Aesthetic LLC | Specialist | 190 Congress Park Dr Ste 180, Delray Beach, FL 33445-4707 | 2018-01-15 |
| 1306363726 | Medical Specialty Group of South Florida LLC | Specialist | 4800 Linton Blvd Ste F106, Delray Beach, FL 33445-6506 | 2017-08-25 |
| 1487197430 | Virginia Zea | Specialist | 16177 Poppyseed Cir Unit 505, Delray Beach, FL 33484-6321 | 2016-11-23 |
| 1114315058 | Ronald L Cohen, Md Pa | Specialist | 13590 Jog Rd Ste 2, Delray Beach, FL 33446-3807 | 2014-12-30 |
| 1366840837 | Pediatrics | Specialist | 13130 Alhambra Lake Cir, Delray Beach, FL 33446-3734 | 2014-12-15 |
| 1144657990 | Delray Institute | Specialist | 32 Se 2nd Ave # U531, Delray Beach, FL 33444-3601 | 2013-10-10 |
| 1023359668 | Leslie Feinsmith | Specialist | 16048 Brier Creek Dr, Delray Beach, FL 33446-9561 | 2013-03-06 |
| 1275871139 | Joseph Warren Malkary | Specialist | 6599 Capistrano Beach Trl, Delray Beach, FL 33446-5665 | 2013-01-27 |
| 1003120197 | Lance Arthur Neinas | Specialist | 13791 Oneida Dr, Apt D2, Delray Beach, FL 33446-3324 | 2010-07-30 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33484 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.