JACKY BLANK MD PA (NPI# 1285961227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285961227 |
| Entity Type | Organization |
| Organization Name | JACKY BLANK MD PA |
| Practice Address |
20814 W Dixie Hwy Aventura FL 33180-1147 |
| Practice Telephone | 3059338433 |
| Mailing Telephone | 3059338433 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |
| Authorized Official Name | DR. JACKY BRUCE BLANK (DIRECTOR) |
| Authorized Official Telephone | 3059338433 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
ME 101336 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
20814 W DIXIE HWY |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-1147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962433300 | Christina L Palino | Physician Assistant | 20814 W Dixie Hwy, Aventura, FL 33180-1147 | 2006-07-05 |
| 1639666324 | Henry Brik, Md Pa | Internal Medicine | 20814 W Dixie Hwy, Aventura, FL 33180 | 2018-04-18 |
| 1225568702 | Henry Brik | Internal Medicine | 20814 W Dixie Hwy, Aventura, FL 33180-1147 | 2017-06-15 |
| 1861937864 | Veronica Torres | Nurse Practitioner | 20814 W Dixie Hwy, Aventura, FL 33180-1147 | 2016-12-29 |
| 1790082246 | Rasa Guzeviciene | Physician Assistant | 20814 W Dixie Hwy, Aventura, FL 33180-1147 | 2011-02-18 |
| 1447560446 | Madai Alina Gomez | Physician Assistant | 20814 W Dixie Hwy, Aventura, FL 33180-1147 | 2010-10-09 |
| 1942326418 | Daniel Kaswan | Internal Medicine | 20814 W Dixie Hwy, Aventura, FL 33180-1147 | 2007-03-22 |
| 1184709644 | Edelstein & Bustamante M.d.'s, P.a. | Specialist | 20814 W Dixie Hwy, Aventura, FL 33180-1147 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1447672985 | Dennis Mazal | Internal Medicine | 19957 Ne 37th Ave, Aventura, FL 33180-3075 | 2014-01-17 |
| 1861437188 | Charles Paul Shenker | Internal Medicine | 21150 Biscayne Boulevard, Ste 208, Aventura, FL 33180 | 2006-06-19 |
| 1164824397 | Intensive Care Experts Health Network LLC | Internal Medicine | 21150 Biscayne Blvd Ste 208, Aventura, FL 33180-1231 | 2014-09-18 |
| 1184860868 | Luis Echarte Pllc | Internal Medicine | 21110 Biscayne Blvd, Suite 205, Aventura, FL 33180-1227 | 2008-12-30 |
| 1326235037 | Bernstein & Mesa Mds LLC | Internal Medicine | 21110 Biscayne Blvd, S# 405, Aventura, FL 33180-1227 | 2007-09-26 |
| 1992920664 | Gary C Chierico & Associates Md Pa | Internal Medicine | 21150 Biscayne Blvd, 106, Aventura, FL 33180-1226 | 2007-04-16 |
| 1346349156 | Stuart J Bernstein M D P A | Internal Medicine | 21110 Biscayne Blvd, Suite 405, Aventura, FL 33180-1227 | 2006-09-21 |
| 1841235165 | Charles P Shenker Md Pa | Internal Medicine | 21150 Biscayne Blvd, Ste 208, Aventura, FL 33180-1226 | 2006-06-19 |
| 1164411799 | Richard M Goodman | Internal Medicine | 21110 Biscayne Blvd, Suite 303, Aventura, FL 33180-1227 | 2005-10-17 |
| 1740279363 | Roland E Nieman Jr. | Internal Medicine | 21110 Biscayne Blvd, Suite 303, Aventura, FL 33180-1227 | 2005-10-17 |
| Find all providers in AVENTURA | ||||
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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.