NORTHERN MEDICAL CENTER PC (NPI# 1255547428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255547428 |
| Entity Type | Organization |
| Organization Name | NORTHERN MEDICAL CENTER PC |
| Practice Address |
5400 S Biscayne Dr North Port FL 34287-1932 |
| Mailing Address |
Po Box 7485 North Port FL 34287-0000 |
| Practice Telephone | 9414230800 |
| Practice Fax Number | 9414230232 |
| Mailing Telephone | 9414230800 |
| Mailing Fax Number | 9414230232 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DORIT YABROV (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9414230800 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
ME93717 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
5400 S BISCAYNE DR |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34287-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205893633 | Personal Choice Home Health Services,inc. | Home Health | 5400 S Biscayne Dr, F, North Port, FL 34287-1932 | 2006-04-28 |
| 1063865418 | Philippe Noel Md and Anna Berenstein Md Pa | Internal Medicine | 5400 S Biscayne Dr, B, North Port, FL 34287-1932 | 2016-07-21 |
| 1750652798 | Miracle Life Adult Day Care Center LLC | Custodial Care Facility | 5400 S Biscayne Dr, Suite F, North Port, FL 34287-1932 | 2012-01-23 |
| 1215268016 | Miracle Care Home Health Agency Corp. | Home Health | 5400 S Biscayne Dr, Suite D, North Port, FL 34287-1932 | 2010-01-19 |
| 1043448715 | Miracle Resort Health International Spa Inc. | Family Medicine | 5400 S Biscayne Dr, Suite A, North Port, FL 34287-1932 | 2009-07-01 |
| 1164452561 | James L Fry | Counselor | 5400 S Biscayne Dr, Suite A, North Port, FL 34287-1932 | 2006-07-03 |
| 1437188695 | Brent Macphail | Counselor | 5400 S Biscayne Dr, Suite A, North Port, FL 34287-1932 | 2006-07-01 |
| 1598794752 | Sun Coast Counseling, Inc. | Counselor | 5400 S Biscayne Dr, Suite A, North Port, FL 34287-1932 | 2006-07-01 |
| 1053349076 | Terrence M Lonergan | Counselor | 5400 S Biscayne Dr, Suite A, North Port, FL 34287-1932 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619323 | Fresenius Medical Care North Port, LLC | Clinic/Center | 12480 Tamiami Trl S, North Port, FL 34287 | 2018-05-14 |
| 1982106464 | Sweetwater Oaks Assisted Living | Assisted Living Facility | 2820 Pan American Blvd, North Port, FL 34287 | 2018-03-01 |
| 1114446218 | Shore Dental, LLC | Dentist | 4901 White Ibis Drive, North Port, FL 34287 | 2017-09-11 |
| 1245645191 | Timmy Truong | Podiatrist | 12757 S. Tamiami Trail, North Port, FL 34287 | 2014-06-29 |
| 1063833671 | Vitaly Rehab Incorporated | Clinic/Center | 12450 Timiami Trail, Suite-e, North Port, FL 34287 | 2013-12-27 |
| 1053744557 | Tiesha Quality Care, LLC. | In Home Supportive Care | 8767 Culebra Ave, North Port, FL 34287 | 2013-08-20 |
| 1811235427 | America's Best Contacts & Eyeglasses | Technician/Technologist | 18467 South Tamiami Trail, North Port, FL 34287 | 2013-01-17 |
| 1043557929 | Joseph E Lacombe | Pharmacist | 1291 S. Sumter Blvd, North Port, FL 34287 | 2013-01-11 |
| 1568621837 | Daniel M Barr Dc | Chiropractor | 4361 Aidan Ln, North Port, FL 34287 | 2008-06-03 |
| 1174712541 | Michael Dwayne Hibbs | Nurse Practitioner | 18659 Tamiami Trail, Suite A, North Port, FL 34287 | 2007-10-22 |
| Find all providers in zip 34287 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851322341 | Panseonat Miracle LLC | Family Medicine | 5400 Biscayne Dr, Suite A, North Port, FL 34287-0000 | 2006-07-05 |
| 1043448715 | Miracle Resort Health International Spa Inc. | Family Medicine | 5400 S Biscayne Dr, Suite A, North Port, FL 34287-1932 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620618 | Heather J Cappello LLC | Family Medicine | 2571 Dick Wilson Dr, Sarasota, FL 34240-8722 | 2020-02-10 |
| 1225682784 | Brevard Geriatrics, LLC | Family Medicine | 720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474 | 2019-08-01 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1184137929 | Saint George Medical Center Inc | Family Medicine | 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 | 2017-11-15 |
| 1750835211 | Gainesville Geriatric Rehabilitation Medicine LLC | Family Medicine | 5002 Nw 15th Pl, Gainesville, FL 32605-4555 | 2016-08-12 |
| 1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
| 1013375062 | Kravitz Physician Services, P.a. | Family Medicine | 5150 Nw 82nd Ter, Coral Springs, FL 33067-2811 | 2016-02-05 |
| 1972968089 | Wm R George II Md Pa | Family Medicine | 327 Plaza Real Ste 307, Boca Raton, FL 33432-3944 | 2015-12-17 |
| 1710369020 | Robert N. Baskin, Md, P.a. | Family Medicine | 2108 N Golfview Dr, Plant City, FL 33566-6768 | 2015-06-23 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PORT |
| Zip Code | 34287 |
Please comment or provide details below to improve the information on NORTHERN MEDICAL CENTER PC.
| 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.