MICHAEL SONENBLUM (NPI# 1275522690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275522690 |
| Entity Type | Individual |
| Full Name | MICHAEL SONENBLUM |
| Credential | MD |
| Practice Address |
1850 Sw Fountainview Blvd Suite 105 Port St Lucie FL 34986-3443 |
| Mailing Address |
900 S Pine Island Rd Ste 800 Plantation FL 33324-3920 |
| Practice Telephone | 7723362818 |
| Practice Fax Number | 7723365313 |
| Mailing Telephone | 7723362818 |
| Mailing Fax Number | 7723365313 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2013-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME57821 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 064614800 | 05 |
| Street Address |
1850 SW FOUNTAINVIEW BLVD SUITE 105 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986-3443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275520603 | Patrick E Ronan | Physician Assistant | 1850 Sw Fountainview Blvd, Suite 105, Port St Lucie, FL 34986 | 2005-09-30 |
| 1184969735 | Elizabeth Mary Lens | Dentist | 1850 Sw Fountainview Blvd, Suite 101, Port St Lucie, FL 34986-3443 | 2012-12-09 |
| 1568779007 | Advanced Smile Institute, Pa | Dentist | 1850 Sw Fountainview Blvd, Suite 101, Port St Lucie, FL 34986-3443 | 2010-09-03 |
| 1699082123 | Robert Edward Lens | Dentist | 1850 Sw Fountainview Blvd, Suite 101, Port St Lucie, FL 34986-3443 | 2010-09-03 |
| 1093940603 | Jessica Ellen Muoio | Pediatrics | 1850 Sw Fountainview Blvd, Suite 105, Port St Lucie, FL 34986-3443 | 2009-05-27 |
| 1104023613 | Alison Ardito | Pediatrics | 1850 Sw Fountainview Blvd, 105, Port St Lucie, FL 34986-3443 | 2007-06-28 |
| 1992909774 | Ancy Abraham | Pediatrics | 1850 Sw Fountainview Blvd, Suite 105, Port St Lucie, FL 34986-3443 | 2007-06-13 |
| 1083822621 | Saltzman, Tanis, Pittel, Levin and Jacobson | Pediatrics | 1850 Sw Fountainview Blvd, Suite 105, Port St Lucie, FL 34986-3443 | 2007-05-18 |
| 1134244429 | Leslie A Pedreira | Nurse Practitioner | 1850 Sw Fountainview Blvd, 105, Port St Lucie, FL 34986 | 2007-03-19 |
| 1912995564 | Bernard S Putter | Pediatrics | 1850 Sw Fountainview Blvd, Suite 105, Port St Lucie, FL 34986-3443 | 2005-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184069742 | Corinne Arrington Watson | Pediatrics | 1095 Nw Saint Lucie West Blvd Ste 106, Port St Lucie, FL 34986-1719 | 2013-05-08 |
| 1114230984 | Marta Beatriz Moroldo | Pediatrics | 1701 Se Hillmoor Dr Ste 19, Port St Lucie, FL 34952-7552 | 2010-07-21 |
| 1770894438 | Monique Michelle Mondesir | Pediatrics | 150 Sw Chamber Ct Ste 101, Port St Lucie, FL 34986-3413 | 2010-06-28 |
| 1063615516 | Ivanelsie Delgado | Pediatrics | 161 Sw Palm Dr Apt 161, Port St Lucie, FL 34986-1796 | 2007-06-11 |
| 1144423195 | Sunita Prakash Bhandare | Pediatrics | 144 Sw Peacock Blvd, # 101, Port St Lucie, FL 34986-4509 | 2007-06-07 |
| 1134348469 | Kerri Daniels | Pediatrics | 3235 Sw Port St Lucie Blvd Ste 105, Port St Lucie, FL 34953-3405 | 2007-04-25 |
| 1255443859 | Michael Bessos Md Pa | Pediatrics | 2632 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-2845 | 2006-08-31 |
| 1083657662 | Milton M Aponte | Pediatrics | 380 Sw Prima Vista Blvd, Port St Lucie, FL 34983-1984 | 2006-06-13 |
| 1912950668 | Miguel A Pereira-robert | Pediatrics | 683 Sw Port St Lucie Blvd, Port St Lucie, FL 34953-1998 | 2006-05-17 |
| 1003875261 | Georges C. Guerrier | Pediatrics | 437 Sw Bethany Dr, Port St Lucie, FL 34986-2136 | 2006-03-17 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
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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.