PALM BEACH PLASTIC SURGERY PA (NPI# 1356504211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356504211 |
| Entity Type | Organization |
| Organization Name | PALM BEACH PLASTIC SURGERY PA |
| Practice Address |
641 University Blvd Suite 103 Jupiter FL 33458-2791 |
| Practice Telephone | 5617762830 |
| Practice Fax Number | 5612964156 |
| Mailing Telephone | 5617762830 |
| Mailing Fax Number | 5612964156 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2009-04-09 |
| Authorized Official Name | JENNIFER PRINS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9093078503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME84988 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
641 UNIVERSITY BLVD SUITE 103 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-2791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242268 | Abbas Rabiei | Internal Medicine | 641 University Blvd, Suite 211, Jupiter, FL 33458-2791 | 2005-08-18 |
| 1124531439 | Beer Dermatology Associates Pa | Dermatology | 641 University Blvd, Suite 212, Jupiter, FL 33458 | 2017-11-08 |
| 1801336383 | Marlene Maria Velasquez-sedito | Nurse Practitioner | 641 University Blvd, Suite #211, Jupiter, FL 33458-2791 | 2017-03-02 |
| 1114347713 | Kenneth R. Beer, Md Pa | Dermatology | 641 University Blvd, Suite 212, Jupiter, FL 33458-2791 | 2014-04-22 |
| 1083957732 | Coastal Internal Medicine of Jupiter, Pa | Internal Medicine | 641 University Blvd, Ste 211, Jupiter, FL 33458-2791 | 2013-04-01 |
| 1821369281 | Nicole Bagge Lmhc Inc. | Clinic/Center | 641 University Blvd, Ste 206, Jupiter, FL 33458-2791 | 2012-01-17 |
| 1114251105 | Tenet Florida Physician Services, LLC | Internal Medicine | 641 University Blvd, Ste 101, Jupiter, FL 33458-2791 | 2009-09-24 |
| 1750615746 | Tenet Florida Physician Services, LLC | Internal Medicine | 641 University Blvd, Ste 105, Jupiter, FL 33458-2791 | 2009-09-24 |
| 1588894174 | Sophia Jibodh | Internal Medicine | 641 University Blvd, Suite 211, Jupiter, FL 33458-2791 | 2009-07-17 |
| 1649478074 | Craig A Skolnick Md Pa | Ophthalmology | 641 University Blvd, Ste 111, Jupiter, FL 33458 | 2007-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194070268 | David Shuter Md Pa | Plastic Surgery | 730 W Indiantown Rd, Jupiter, FL 33458-7507 | 2012-07-16 |
| 1942217385 | Israel David Shuter | Plastic Surgery | 2151 S Alternate A1a Ste 1000, Jupiter, FL 33477-4098 | 2006-08-01 |
| 1609807387 | Aldo Angelo Lombardo | Plastic Surgery | 851 W Indiantown Rd, Jupiter, FL 33458-7508 | 2006-07-05 |
| 1144638834 | High Point Plastic Surgery, LLC | Plastic Surgery | 3535 Military Trl, #204, Jupiter, FL 33458-5009 | 2014-07-26 |
| 1063733491 | Robin A Sykes, M.d., P.a. | Plastic Surgery | 2055 Military Trl, Suite 305, Jupiter, FL 33458-7801 | 2010-06-21 |
| 1013141712 | Jacob J. Freiman | Plastic Surgery | 600 Heritage Dr, Suite 220, Jupiter, FL 33458-3000 | 2009-05-08 |
| 1821237322 | Palm Beach Institute of Plastic and Reconstructive Surgery | Plastic Surgery | 600 Heritage Dr, Ste 220, Jupiter, FL 33458-3000 | 2009-02-07 |
| 1902001704 | Dev Vibhakar | Plastic Surgery | 641 University Blvd, Ste 103, Jupiter, FL 33458-2792 | 2007-06-20 |
| 1689700494 | Kim Edward Koger | Plastic Surgery | 210 Jupiter Lakes Blvd, Bldg 5000 Suite 202, Jupiter, FL 33458-7191 | 2007-02-26 |
| 1457414393 | Harold Bafitis | Plastic Surgery | 4601 Military Trl, 208, Jupiter, FL 33458-4834 | 2006-12-19 |
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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.