DR. MYRON TANENBAUM (NPI# 1225091473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225091473 |
| Entity Type | Individual |
| Full Name | DR. MYRON TANENBAUM |
| Credential | M.D. |
| Practice Address |
7765 Sw 87th Ave Suite 210 Miami FL 33173-2596 |
| Practice Telephone | 3052735353 |
| Practice Fax Number | 3052730496 |
| Mailing Telephone | 3052735353 |
| Mailing Fax Number | 3052730496 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2016-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 0041105 | FL | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
41105 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0489972-00 | 05 |
| Street Address |
7765 SW 87TH AVE SUITE 210 |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-2596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235104167 | Richard E Hernandez | Internal Medicine | 7765 Sw 87th Ave, Suite 105, Miami, FL 33173-2596 | 2006-02-22 |
| 1861907636 | Marlene Chere Sampson | Counselor | 7765 Sw 87th Ave, Miami, FL 33173-2596 | 2017-12-02 |
| 1790148682 | Gastro Health, Pl | Pharmacist | 7765 Sw 87th Ave, 212, Miami, FL 33173-2596 | 2016-03-30 |
| 1942614771 | Myron Tanenbaum Md Pa | Ophthalmology | 7765 Sw 87th Ave, Suite Number 210, Miami, FL 33173-2596 | 2014-06-19 |
| 1700148574 | Miami Children S Neurology Pa | Psychiatry & Neurology | 7765 Sw 87th Ave, Ste. 120, Miami, FL 33173-2596 | 2012-06-08 |
| 1861798282 | Associates In Advanced Maternal Fetal Medicine, LLC | Obstetrics & Gynecology | 7765 Sw 87th Ave, Suite 200 A, Miami, FL 33173-2596 | 2011-02-02 |
| 1861798530 | Care for Children | Specialist | 7765 Sw 87th Ave, Suite # 209, Miami, FL 33173-2596 | 2011-01-28 |
| 1295982320 | Robert Vogt-lowell Md, Pa | Pediatrics | 7765 Sw 87th Ave, Suite 110, Miami, FL 33173-2596 | 2008-08-20 |
| 1821257056 | Lesley De La Torre | Obstetrics & Gynecology | 7765 Sw 87th Ave, Suite 200, Miami, FL 33173-2596 | 2008-06-03 |
| 1992974281 | Gilbert Toledo | Dentist | 7765 Sw 87th Ave, 109, Miami, FL 33173 | 2008-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
| Find all providers in zip 33173 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205286218 | Zakeya Mohammed Al-sadah | Ophthalmology | 900 Nw 17th St, Miami, FL 33136-1119 | 2016-06-21 |
| 1073884375 | Michelle Elizabeth Wilson Latting | Ophthalmology | 900 Nw 17th St, Miami, FL 33136 | 2012-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396137 | Kenneth Richard Kesty | Ophthalmology | 1395 Brightwaters Blvd Ne, St Petersburg, FL 33704-3807 | 2020-02-02 |
| 1356803167 | Westsite Management LLC | Ophthalmology | 10088 Indiantown Rd Ste B, Jupiter, FL 33478-4738 | 2019-04-01 |
| 1912456104 | Mitch Levin | Ophthalmology | 1402 Green Cove Rd, Winter Park, FL 32789-2551 | 2016-09-28 |
| 1457794935 | Kyle Fitzgerald Cox | Ophthalmology | 345 Clyde Morris Blvd Ste 330, Ormond Beach, FL 32174 | 2013-04-15 |
| 1619119948 | Crystal River Eye Center,llc | Ophthalmology | 295 Se Us Highway 19, Crystal River, FL 34429-4880 | 2009-04-01 |
| 1932292935 | James Randall Patrinely | Ophthalmology | 17 E Main St Ste 100, Pensacola, FL 32502-5998 | 2006-10-02 |
| 1275534182 | Karen L Chapman | Ophthalmology | 1750 S Osprey Ave, Sarasota, FL 34239-3511 | 2005-08-02 |
| 1831735224 | Mohadjer Consulting LLC | Ophthalmology | 8855 9th St N Ste 100, St Petersburg, FL 33702-3443 | 2019-11-21 |
| 1760911796 | Dr Dan Plastic Surgery | Ophthalmology | 1776 N Pine Island Rd Ste 218, Plantation, FL 33322-5223 | 2017-06-04 |
| 1619423845 | Gulfstream Eye, Pllc | Ophthalmology | 555 Nw Lake Whitney Pl Ste 105, Port Saint Lucie, FL 34986-1623 | 2016-08-28 |
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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.