FLORIDA ATLANTIC UNIVERSITY (NPI# 1396211421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396211421 |
| Entity Type | Organization |
| Organization Name | FLORIDA ATLANTIC UNIVERSITY |
| Practice Address |
880 Nw 13th St Ste 400 Boca Raton FL 33486-2342 |
| Mailing Address |
777 Glades Road College of Medicine, Bc-71, Finance Office Boca Raton FL 33431 |
| Practice Telephone | 5612974814 |
| Mailing Telephone | 5615665328 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | DAVID KITE (EVP, FINANCIAL AFFAIRS/DEPUTY CFO) |
| Authorized Official Telephone | 5612972897 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873975 | Florida Atlantic University | Speech-Language Pathologist | 777 Glades Rd Bldg 47, Rm 413, Boca Raton, FL 33431-6424 | 2019-10-25 |
| 1093026619 | Florida Atlantic University | Family Medicine | 1650 Osceola Drive, West Palm Beach, FL 33409 | 2010-06-29 |
| 1134510688 | Florida Atlantic University | Family Medicine | 777 Glades Rd, Department of Atlhletics, Boca Raton, FL 33431-6424 | 2015-02-05 |
| 1053736405 | Florida Atlantic University | Family Medicine | 777 Glades Rd, Building Bc-71, Room 237, Boca Raton, FL 33431-6424 | 2014-02-21 |
| 1659640076 | Florida Atlantic University | Local Education Agency (LEA) | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2011-12-14 |
| 1255541850 | Florida Atlantic University | Clinic/Center | 777 Glades Rd, Boca Raton, FL 33431-6424 | 2007-05-23 |
| 1164591954 | Florida Atlantic University | Clinical Neuropsychologist | 777 Glades Rd, Bldg Az-79, Boca Raton, FL 33431-6424 | 2006-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FLORIDA ATLANTIC UNIVERSITY | 777 Glades Rd, Boca Raton, FL 33431-6424 |
| System for Award Management (SAM) Entities | FLORIDA ATLANTIC UNIVERSITY - HARBOR BRANCH OCEANOGRAPHIC INSTITUTE (FAU-HBOI) | 5600 N Us Highway 1, Fort Pierce, FL 34946-7331 |
| Oklahoma Business Registrations | FLORIDA ATLANTIC UNIVERSITY FOUNDATION, INC. | 777 Glades Rd Admin, 295, Boca Raton, FL 33431 |
| System for Award Management (SAM) Entities | FLORIDA ATLANTIC UNIVERSITY RESEARCH CORPORATION | 777 Glades Rd, Boca Raton, FL 33431-6424 |
| Street Address |
880 NW 13TH ST STE 400 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33486-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659353 | Leonard Kyle Berkowitz | Family Medicine | 880 Nw 13th St Ste 400, Boca Raton, FL 33486-2342 | 2005-09-16 |
| 1770717126 | Nasreen Ghazi | Family Medicine | 880 Nw 13th St Ste 400, Boca Raton, FL 33486-2342 | 2009-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1235699547 | Ron N/a Goldwaser | Occupational Therapist | Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 | 2019-03-22 |
| 1982105516 | Noa Rivka Schwartz | Registered Nurse | 801 Meadows Rd Ste 120, Boca Raton, FL 33486 | 2018-02-28 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| 1285160440 | Mary Lauderdale | Developmental Therapist | 836 Sw 9th St Circle, Boca Raton, FL 33486 | 2017-05-10 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1528504354 | Megan M Lucas | Physician Assistant | 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 | 2017-01-18 |
| 1962864280 | Annmarie Diazhernandez | Nurse Practitioner | 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 | 2016-03-25 |
| 1689071078 | Djurdja Andrich | Nurse Practitioner | 1500 Nw 10th Ave #205, Boca Raton, FL 33486 | 2014-12-01 |
| Find all providers in zip 33486 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1821699034 | Sia - Specialty Infusion LLC | Internal Medicine | 2200 Glades Rd Ste 304, Boca Raton, FL 33431-7348 | 2020-11-04 |
| 1811596562 | Shari Rosenbaum Md Pllc | Internal Medicine | 1905 Clint Moore Rd Ste 204, Boca Raton, FL 33496-2660 | 2020-10-23 |
| 1942823711 | Hope Medical Pa | Internal Medicine | 11419 W Palmetto Park Rd, Unit 97081, Boca Raton, FL 33497-2501 | 2020-05-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| 1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
| 1033644182 | Royal Family Medicine Inc | Internal Medicine | 3886 Candlewood Blvd, Boca Raton, FL 33487-1261 | 2017-04-26 |
| 1144777954 | Acts Signature Community Services, Inc. | Internal Medicine | 6152 North Verde Trail, Boca Raton, FL 33433-2430 | 2016-09-09 |
| 1801343827 | Mwh Medical Consulting, LLC | Internal Medicine | 804 Bridgewood Pl, Boca Raton, FL 33434-4157 | 2016-09-07 |
| 1174978308 | Mdvip Medical Group Ct LLC | Internal Medicine | 4950 Communication Ave, Suite 100, Boca Raton, FL 33431-3307 | 2016-04-25 |
| 1437512159 | Areeba Awan | Internal Medicine | 670 Glades Road, Suite 400, Florida Atlantic University Medicine At Boca Raton, Boca Raton, FL 33431-5035 | 2016-03-30 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33486 |
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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.