DR. AGUSTIN M IBARROLA (NPI# 1043206600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043206600 |
| Entity Type | Individual |
| Full Name | DR. AGUSTIN M IBARROLA |
| Credential | MD |
| Practice Address |
12955 Palms West Dr Ste 101 Loxahatchee FL 33470 |
| Mailing Address |
6415 Lake Worth Rd Ste 102 Greenacres FL 33463-3009 |
| Practice Telephone | 5617981515 |
| Practice Fax Number | 5617989282 |
| Mailing Telephone | 5613310808 |
| Mailing Fax Number | 5613315263 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2019-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME71752 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 250929600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 130 Jfk Dr Ste 134, Atlantis, FL 334621133 | 5613310808 | 5613325263 |
| 130 Jfk Dr Ste 134, Atlantis, FL 334621133 | 5619642211 | 5616493378 |
| Street Address |
12955 PALMS WEST DR STE 101 |
| City | LOXAHATCHEE |
| State | FL |
| Zip Code | 33470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316727 | Arul B Chidambaram | Surgery | 12955 Palms West Dr Ste 101, Loxahatchee, FL 33470-9212 | 2005-09-20 |
| 1770716425 | Heather Marlise Carmichael | Clinical Nurse Specialist | 12955 Palms West Dr Ste 101, Loxahatchee, FL 33470-9212 | 2009-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638139 | Jang Nga Zeng | Physician Assistant | 5980 Kingfisher Blvd, Westlake, FL 33470 | 2020-01-16 |
| 1295290393 | Truepartners Westlake Emergency Specialists Pllc | Emergency Medicine | 16750 Persimmon Blvd, Westlake, FL 33470 | 2019-02-04 |
| 1952870818 | Luz Miryan Alexandra Torrente | Behavior Technician | 15932 75th Ln, Loxahatchee, FL 33470 | 2018-11-20 |
| 1508365495 | Simone E Mack | Counselor | 17334 W. Sycamore Dr., Loxahatchee, FL 33470 | 2018-02-06 |
| 1578083218 | Lugdie Marguerite Jonassaint | Registered Nurse | 14842-69 Street N., Treasured Lives Alf Inc C/o Lugdie Jonassaint, Loxahatchee, FL 33470 | 2017-06-23 |
| 1255877932 | Jose Desmarais | Nurse Practitioner | 12953 Palms West Dr Ste 102, Loxahatchee, FL 33470 | 2017-01-18 |
| 1457704314 | Premier Transitions Mht LLC | Internal Medicine | 17888 67th Court North, Loxahatchee, FL 33470 | 2016-07-15 |
| 1851747083 | Groves Dental Care P.a. | Clinic/Center | 15673 Southern Blvd., 109, Loxahatchee Groves, FL 33470 | 2016-05-06 |
| 1376959486 | Yun-long Chi | Acupuncturist | 12957 Palms West Dr Ste 201, Loxahatchee, FL 33470 | 2014-07-09 |
| 1629334081 | Kui-tzu Victoria Feng | Internal Medicine | 12957 Palms West Dr Ste 204, Loxahatchee, FL 33470 | 2012-04-10 |
| Find all providers in zip 33470 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1104394857 | George Scott Hall Sr. | Surgery | 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 | 2018-11-09 |
| 1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
| 1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
| 1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
| 1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
| 1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
| 1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
| 1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
| Find all providers with the same taxonomy | ||||
| City | LOXAHATCHEE |
| Zip Code | 33470 |
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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.