GOLD COAST CANCER CENTER LLC (NPI# 1154640761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154640761 |
| Entity Type | Organization |
| Organization Name | GOLD COAST CANCER CENTER LLC |
| Practice Address |
345 Jupiter Lakes Blvd Jupiter FL 33458-7100 |
| Mailing Address |
3343 State Road 7 Wellington FL 33449-8002 |
| Practice Telephone | 5612969147 |
| Practice Fax Number | 5612969148 |
| Mailing Telephone | 5617959845 |
| Mailing Fax Number | 5617958791 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |
| Authorized Official Name | MR. RAVI PATEL (MANAGING DIRECTOR) |
| Authorized Official Telephone | 5617959845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
345 JUPITER LAKES BLVD |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659370435 | Victor R Iannaccone | Obstetrics & Gynecology | 345 Jupiter Lakes Blvd, Ste 200, Jupiter, FL 33458-7100 | 2005-07-14 |
| 1760017297 | Morgan Ashley Gallego | Behavior Technician | 345 Jupiter Lakes Blvd, Jupiter, FL 33458-7100 | 2020-03-04 |
| 1487212908 | Constance Jean Ricotta | Occupational Therapist | 345 Jupiter Lakes Blvd, Jupiter, FL 33458-7100 | 2019-05-30 |
| 1851756316 | Twila Curren | Psychologist | 345 Jupiter Lakes Blvd, Suite 302a, Jupiter, FL 33458-7100 | 2015-12-28 |
| 1073909420 | Garine Prosthodontics Pa | Dentist | 345 Jupiter Lakes Blvd, Ste 304, Jupiter, FL 33458-7100 | 2015-04-13 |
| 1134515166 | Saylor Physical Therapy Jupiter LLC | Preferred Provider Organization | 345 Jupiter Lakes Blvd, Ste 300, Jupiter, FL 33458-7100 | 2015-04-07 |
| 1699172742 | Amy Brown | Physical Therapist | 345 Jupiter Lakes Blvd, Suite 300, Jupiter, FL 33458-7100 | 2014-12-04 |
| 1528474111 | Jaimie St Ama | Counselor | 345 Jupiter Lakes Blvd, 302a, Jupiter, FL 33458-7100 | 2014-07-03 |
| 1801222849 | Deanna Cotto | Nurse Practitioner | 345 Jupiter Lakes Blvd, Suite 200, Jupiter, FL 33458-7100 | 2013-09-23 |
| 1417209974 | Jennifer Ries | Psychologist | 345 Jupiter Lakes Blvd, Suite 302a, Jupiter, FL 33458-7100 | 2012-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295765154 | Marcelle Bertrand | Internal Medicine | 1240 S Old Dixie Hwy Ste 201, Jupiter, FL 33458-7205 | 2006-07-04 |
| 1558358630 | Edit Tolnai | Internal Medicine | 431 University Blvd, Jupiter, FL 33458-3103 | 2005-10-04 |
| 1649648080 | Genesiscare Usa of Florida LLC | Internal Medicine | 431 University Blvd, Jupiter, FL 33458-3103 | 2015-09-02 |
| 1295042760 | Jupiter Cancer Institute, Pa | Internal Medicine | 431 University Blvd, Jupiter, FL 33458-3103 | 2010-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
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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.