DAVID PORUDOMINSKY (NPI# 1013993500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013993500 |
| Entity Type | Individual |
| Full Name | DAVID PORUDOMINSKY |
| Credential | MD |
| Practice Address |
2825 N State Road 7 Ste 300 Margate FL 33063-5737 |
| Mailing Address |
2825 N State Rd 7 Ste 300 Margate FL 33063 |
| Practice Telephone | 9549750350 |
| Practice Fax Number | 9549753465 |
| Mailing Telephone | 9549750350 |
| Mailing Fax Number | 9549753465 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2008-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME0045569 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 61413 | 01 |
| FL | NEIGHBORHOOD | 002661 | 01 |
| FL | AVMED | 008272 | 01 |
| FL | 049740100 | 05 | |
| FL | GHI | 0163188 | 01 |
| Street Address |
2825 N STATE ROAD 7 STE 300 |
| City | MARGATE |
| State | FL |
| Zip Code | 33063-5737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757942 | Arthur A Shachner | Internal Medicine | 2825 N State Road 7, Suite 204, Margate, FL 33063-5737 | 2005-08-15 |
| 1932581865 | Peter H. Gach, Md, Pa | Internal Medicine | 2825 N State Road 7, #202, Margate, FL 33063-5737 | 2015-06-27 |
| 1679843494 | Yuri Salas Espinosa | Internal Medicine | 2825 N State Road 7, Ste 204, Margate, FL 33063-5737 | 2012-01-10 |
| 1548541998 | Center for Natural Healing and Regenerative Medicine, Inc. | Preventive Medicine | 2825 N State Road 7, 203, Margate, FL 33063-5737 | 2011-08-30 |
| 1194027409 | Neil Schultz, Md Pa | Internal Medicine | 2825 N State Road 7, Suite 200, Margate, FL 33063-5737 | 2010-11-19 |
| 1306146501 | Innovative Rehab Solutions Inc. | Prosthetic/Orthotic Supplier | 2825 N State Road 7, Suite 203, Margate, FL 33063-5737 | 2010-10-22 |
| 1407168099 | Lal Bhagchandani M D P A | Internal Medicine | 2825 N State Road 7, Ste 201, Margate, FL 33063-5737 | 2010-07-12 |
| 1720227523 | Kejaro Md, Pllc | Internal Medicine | 2825 N State Road 7, Suite 201, Margate, FL 33063-5737 | 2009-02-18 |
| 1356506877 | Physicians Clinical Research Alliance, LLC. | Specialist/Technologist, Other | 2825 N State Road 7, Suite 204, Margate, FL 33063-5737 | 2008-07-24 |
| 1497924575 | Joseph C.a. Hadeed, Md, Pa | Internal Medicine | 2825 N State Road 7, Suite 204, Margate, FL 33063-5737 | 2008-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978734 | Ashley Bayliss | Counselor | Legacy Healing Center Margate, 2960 N State Road 7 Ste 102, Margate, FL 33063 | 2020-09-30 |
| 1366051872 | Tasheen Fletcher | Social Worker | 4716 West Atlantic Blvd, Coconut Creek, FL 33063 | 2020-07-30 |
| 1437768116 | Care for You Medical Center, LLC | Clinic/Center | 5412 West Atlantic Blvd, Margate, FL 33063 | 2020-07-28 |
| 1073130621 | Freedom of Speech Therapy Center | Clinic/Center | 6344 Duval Drive, Margate, FL 33063 | 2020-06-30 |
| 1326683558 | Timekia Miller | Nurse Practitioner | 6343 Harbor Bnd, Margate, FL 33063 | 2019-11-12 |
| 1487138236 | Kavine Annita Taylor-dyke | Nurse Practitioner | 272 Nw 80th Terrace, Margate, FL 33063 | 2018-09-18 |
| 1750890513 | Breath of Life Medical Center Inc | Internal Medicine | 5090 Coconut Creek Pkwy, Margate, FL 33063 | 2017-09-25 |
| 1881116796 | Stephanie Lola Backer | Nurse Practitioner | 5825 Toscana Place, Apt 206, Margate, FL 33063 | 2017-07-12 |
| 1346761384 | Kayan Oconnor Robinson | Technician, Other | 300 Lakewood Circle, Unit C, Margate, FL 33063 | 2017-06-29 |
| 1245610138 | Shailee B Patel | Dermatology | 3275 N. State Road 7, Margate, FL 33063 | 2015-06-04 |
| Find all providers in zip 33063 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245294552 | Michael John Boyle | Surgery | 5651 Nw 29th St, Margate, FL 33063-1531 | 2006-04-13 |
| 1518960053 | Pachavit Kasemsap | Surgery | 2825 N State Road 7 Ste 300, Margate, FL 33063-5737 | 2005-05-28 |
| 1861713943 | Robert Anthony Jimenez | Surgery | 5901 Colonial Dr, Suite 311, Margate, FL 33063-5675 | 2010-06-12 |
| 1053645911 | Arya Holding Corp | Surgery | 5901 Colonial Dr, Suite 106, Margate, FL 33063-5675 | 2009-09-25 |
| 1518142413 | Rafael Sierra | Surgery | 2825 N State Road 7 Ste 300, Margate, FL 33063-5737 | 2008-01-09 |
| 1336123991 | Eric Kleinstein | Surgery | 2825 N State Road 7, #300, Margate, FL 33063-5737 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301263 | Heather Marie Gable | Surgery | 6150 Diamond Centre Ct # 1300, Fort Myers, FL 33912-4367 | 2020-09-21 |
| 1932713476 | Gabriel Nicolas Chapman | Surgery | 12301 Trout Cir, Spring Hill, FL 34609-4962 | 2020-09-02 |
| 1396356960 | After Hours Surgical Care LLC | Surgery | 11766 Foxbriar Lake Trl, Boynton Beach, FL 33473-7830 | 2020-08-16 |
| 1588288203 | Samuel Joseph | Surgery | 22730 Sw 55th Ave, Boca Raton, FL 33433-6258 | 2020-05-29 |
| 1720601768 | Ked Medical, P.a. | Surgery | 3001 N Rocky Point Dr E Ste 100, Tampa, FL 33607-5860 | 2020-05-26 |
| 1952922270 | Glenn Edmund Bryan Jr. | Surgery | 4255 N Us Highway 1, Melbourne, FL 32935-4822 | 2020-04-27 |
| 1821618729 | Herbert Paul Lerner | Surgery | 10815 Royal Devon Way, Lake Worth, FL 33449-8650 | 2020-04-21 |
| 1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
| 1831749977 | Imed Surgical of Miami, Pa | Surgery | 175 Sw 7th St Ste 1710, Miami, FL 33130-2957 | 2019-09-19 |
| 1174170914 | Vip Surgeries | Surgery | 1301 E Broward Blvd Ste 220, Fort Lauderdale, FL 33301-2111 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVID PORUDOMINSKY.
| 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.