EAST HOLLYWOOD MEDICAL ASSOCIATES, INC. (NPI# 1174718704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174718704 |
| Entity Type | Organization |
| Organization Name | EAST HOLLYWOOD MEDICAL ASSOCIATES, INC. |
| Practice Address |
2219 Hollywood Blvd Ste 101 Hollywood FL 33020-6760 |
| Practice Telephone | 9549262900 |
| Practice Fax Number | 9549262956 |
| Mailing Telephone | 9549262900 |
| Mailing Fax Number | 9549262956 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2019-11-14 |
| Authorized Official Name | DR. MANUEL IRIBAR (PRESIDENT) |
| Authorized Official Telephone | 9549262900 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
ME0041495 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2216 Hollywood Blvd, Hollywood, FL 330206702 | 9549262900 | 9549262956 |
| Street Address |
2219 HOLLYWOOD BLVD STE 101 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-6760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171125 | Manuel Rafael Iribar | Internal Medicine | 2219 Hollywood Blvd Ste 101, Hollywood, FL 33020-6760 | 2005-08-22 |
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|---|---|---|---|---|
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| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1174543144 | Padma K Vedantam | Internal Medicine | 7369 Sheridan St, Suite 102, Pembroke Pines Community Based Outpatient Clinic, Hollywood, FL 33024 | 2006-07-20 |
| 1982633764 | Alix Gay | Internal Medicine | 2600 Van Buren St, Hollywood, FL 33020-4818 | 2006-07-02 |
| 1548675788 | Alfred G Salas Md Pa | Internal Medicine | 2750 N 29th Ave, 114-c, Hollywood, FL 33020-1521 | 2014-06-26 |
| 1356580757 | Regina Marranzini Md Pa | Internal Medicine | 3700 Washington St, Suite 301, Hollywood, FL 33021-8256 | 2009-02-10 |
| 1194920298 | Neldes R Marranzini | Internal Medicine | 3702 Washington St, Suite 205, Hollywood, FL 33021-8283 | 2007-06-19 |
| 1851387112 | Alfred Richard Rosenthal | Internal Medicine | 1150 N 35th Ave, Ste 499, Hollywood, FL 33021-5424 | 2005-09-22 |
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| 1710464946 | Baptist Agewell Physicians Inc | Internal Medicine | 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 | 2018-07-20 |
| 1659891018 | Pocketdoc Physicians Pa | Internal Medicine | 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 | 2017-06-26 |
| 1003349549 | On Call Wound Care LLC | Internal Medicine | 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 | 2017-04-11 |
| 1154781284 | Verimed Health Group Land O' Lakes, LLC | Internal Medicine | 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 | 2016-03-02 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1881083020 | Arnold Jay Simon, M.d. | Internal Medicine | 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 | 2015-01-12 |
| 1912300575 | Geriatrics and Hospitalists Associates | Internal Medicine | 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 | 2014-09-26 |
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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.