PRIMARY CARE PHYSICIANS OF HOLLYWOOD, PL (NPI# 1053362665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053362665 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PHYSICIANS OF HOLLYWOOD, PL |
| Practice Address |
2488 N University Dr Pembroke Pines FL 33024-3624 |
| Practice Telephone | 9549839191 |
| Practice Fax Number | 9549831152 |
| Mailing Telephone | 9549839191 |
| Mailing Fax Number | 9549831152 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | LAURA BURKE (CREDENTIALING MANGER) |
| Authorized Official Telephone | 9545634472 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME 74548 | FL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ME 81676 | FL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269366600 | 05 | |
| FL | BCBS | 39480 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710477369 | Primary Care Physicians of Hollywood, Pl | Family Medicine | 2701 E Atlantic Blvd Fl 1, Pompano Beach, FL 33062-4941 | 2018-05-18 |
| 1194215947 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 601 N Flamingo Rd Ste 104, Pembroke Pines, FL 33028-1007 | 2018-05-17 |
| 1699265363 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 3700 Washington St Ste 203, Hollywood, FL 33021-8249 | 2018-05-17 |
| 1831689512 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 8880 Royal Palm Blvd Ste 105, Coral Springs, FL 33065-5727 | 2018-05-17 |
| 1538659388 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 10650 W State Road 84 Ste 104, Davie, FL 33324-4235 | 2018-05-17 |
| 1801386461 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 8251 W Broward Blvd Ste 102, Plantation, FL 33324-2703 | 2018-05-18 |
| 1457841017 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 6517 Taft St Ste 101, Hollywood, FL 33024-4063 | 2018-05-18 |
| 1962992651 | Primary Care Physicians of Hollywood, Pl | Family Medicine | 3001 Nw 49th Ave Ste 100, Lauderdale Lakes, FL 33313-7257 | 2018-05-17 |
| 1942790621 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 2057 N University Dr, Sunrise, FL 33322-3936 | 2018-05-17 |
| 1154811834 | Primary Care Physicians of Hollywood, Pl | Family Medicine | 612 S State Road 7, Margate, FL 33068-1734 | 2018-05-17 |
| Street Address |
2488 N UNIVERSITY DR |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821352 | Roberto C Fernandez Blay | Internal Medicine | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2005-09-14 |
| 1861963563 | Alba Lucia Ceballos | Family Medicine | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2018-12-07 |
| 1689144636 | Isel Huelbes | Nurse Practitioner | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2018-12-03 |
| 1336629195 | Maria Rosario Morejon Jr. | Nurse Practitioner | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2018-08-20 |
| 1922598580 | Primary Care Physicians of Hollywood, Pa | Internal Medicine | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2018-05-18 |
| 1689091787 | Ifb Pharmacy, LLC | Pharmacy | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2014-03-26 |
| 1770813248 | Vanessa G Pages | Pharmacist | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2010-01-06 |
| 1760613491 | Sav-a-lot Pharmacy | Pharmacy | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2009-07-29 |
| 1982870606 | Joseph Michael Mascenik | Physician Assistant | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2008-05-02 |
| 1548276561 | Isaac Vargas-cesar | Internal Medicine | 2488 N University Dr, Pembroke Pines, FL 33024-3624 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716279 | Village Medical Center, LLC. | Internal Medicine | 13400 Sw 10th St, Pembroke Pines, FL 33027-1833 | 2020-10-01 |
| 1316402886 | John V. Williams, M.d., Pa | Internal Medicine | 10071 Pines Blvd Ste A, Pembroke Pines, FL 33024-6182 | 2019-02-08 |
| 1467939652 | Clearcare LLC | Internal Medicine | 3157 N University Dr # 213, Pembroke Pines, FL 33024-2258 | 2018-07-20 |
| 1194215947 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 601 N Flamingo Rd Ste 104, Pembroke Pines, FL 33028-1007 | 2018-05-17 |
| 1770934119 | Serenity Plus Health Services LLC | Internal Medicine | 441 Nw 188th Ter, Pembroke Pines, FL 33029-3297 | 2016-06-27 |
| 1235509118 | Rma Medical Centers of Florida LLC | Internal Medicine | 3 Sw 129th Ave Ste 101, Pembroke Pines, FL 33027-1778 | 2015-10-05 |
| 1619374014 | Paul Isaacs | Internal Medicine | 6631 Sw 8th St, Pembroke Pines, FL 33023-1503 | 2014-12-01 |
| 1922438787 | Precision Health Inc | Internal Medicine | 17206 Nw 8th St, Pembroke Pines, FL 33029-3187 | 2013-11-14 |
| 1902238447 | James C Padula Do Inc | Internal Medicine | 3 Sw 129th Ave Ste 202, Pembroke Pines, FL 33027-1779 | 2013-08-07 |
| 1003175324 | Elitehealth Primary Care Group | Internal Medicine | 1601 N Palm Ave Ste 109, Pembroke Pines, FL 33026-3240 | 2012-05-07 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
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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.