DR. BRUCE WISHNOV (NPI# 1134296395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134296395 |
| Entity Type | Individual |
| Full Name | DR. BRUCE WISHNOV |
| Credential | DO |
| Practice Address |
22065 State Road 7 Boca Raton FL 33428-4219 |
| Practice Telephone | 5614884847 |
| Practice Fax Number | 5614884366 |
| Mailing Telephone | 5614884847 |
| Mailing Fax Number | 5614884366 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS4897 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEA | AW2816556 | 01 |
| Street Address |
22065 STATE ROAD 7 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33428-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508938515 | Shelly M Cambell | Nurse Practitioner | 22065 State Road 7, Boca Raton, FL 33428-4219 | 2006-11-14 |
| 1225510985 | Anne Carballo Mon | Nurse Practitioner | 22065 State Road 7, Boca Raton, FL 33428-4219 | 2018-08-29 |
| 1922175249 | Michele E. Willey D.o. P.a. | Family Medicine | 22065 State Road 7, Boca Raton, FL 33428-4219 | 2006-11-30 |
| 1316014590 | Bruce Wishnov Do Pa | Family Medicine | 22065 State Road 7, Boca Raton, FL 33428-4219 | 2006-11-30 |
| 1588731806 | Michele Elizabeth Willey | Family Medicine | 22065 State Road 7, Boca Raton, FL 33428-4219 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016604 | Eliane Dos Santos Lamarche | Behavior Technician | 11514 Country Sound Ct, Boca Raton, FL 33428 | 2018-06-09 |
| 1447740840 | Wilzade Joseph | Assisted Living Facility | 22319 Sw 65th Ave, Boca Raton, FL 33428 | 2018-05-11 |
| 1477065316 | Pamela Manning | Nurse Practitioner | 9864 Grand Verde Way Apt 1507, Boca Raton, FL 33428 | 2017-11-01 |
| 1912428624 | Carole Mandat | Assistant Behavior Analyst | 11083 Baybreeze Way, Boca Raton, FL 33428 | 2017-07-03 |
| 1679025571 | Tam Thu Tran | Physician Assistant | 22864 Neptune Road, Boca Raton, FL 33428 | 2016-10-27 |
| 1922458355 | Zurab Akakievich Iosava | Specialist/Technologist, Other | 21644 State Road 7. (hwy 441), Boca Raton, FL 33428 | 2016-06-16 |
| 1497125280 | Robert Jay Drimmer | Internal Medicine | 21357 Bridgeview Drive, Boca Raton, FL 33428 | 2015-10-06 |
| 1710391966 | Pathway 2 Recovery Gold Coast | Clinic/Center | 23116a Sandal Foot Plaza Drive, Boca Raton, FL 33428 | 2014-06-16 |
| 1134564727 | Mary Margaret Spitzer | Nurse Practitioner | 9980 Central Park Blvdn, Boca Ration, FL 33428 | 2013-05-08 |
| 1619312816 | Alan Wasserman | Dentist | 22053 S.r. 7, Boca Raton, FL 33428 | 2013-05-02 |
| Find all providers in zip 33428 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728561 | Invision Health Florida, LLC | Family Medicine | 7100 Camino Real Ste 200, Boca Raton, FL 33433-5510 | 2020-10-17 |
| 1710584537 | Daniel Beck | Family Medicine | 6511 Via Regina, Boca Raton, FL 33433-3910 | 2020-10-05 |
| 1265057715 | Danit Fischtein | Family Medicine | 8350 Via Serena, Boca Raton, FL 33433-2235 | 2020-06-10 |
| 1396366209 | Mirna L Avendano | Family Medicine | 4998 Nw 3rd Ter, Boca Raton, FL 33431-4767 | 2020-05-01 |
| 1083256168 | Glutality Provider Group, P.a. | Family Medicine | 6800 Broken Sound Pkwy Nw Ste 150a, Boca Raton, FL 33487-5709 | 2019-10-10 |
| 1912401027 | Matthew Morrison | Family Medicine | 64 S Federal Hwy, Boca Raton, FL 33432-4805 | 2018-03-22 |
| 1588013049 | Dianela Medina Vega | Family Medicine | 2900 N Military Trl Ste 201, Boca Raton, FL 33431-6308 | 2016-06-06 |
| 1265822712 | Betsy Leibowitz | Family Medicine | 101 Plaza Real S Ste A, Boca Raton, FL 33432-4855 | 2015-02-04 |
| 1629487939 | Duhaney Medical, P.a. | Family Medicine | 9808 Grand Verde Way, 802, Boca Raton, FL 33428-3516 | 2014-08-12 |
| 1699106948 | John Habib Hanna | Family Medicine | 1180 South Ocean Blvd, Suite Number 10-a, Boca Raton, FL 33432-7639 | 2013-12-11 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33428 |
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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.