DR. BLAKE TISHMAN (NPI# 1447550082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447550082 |
| Entity Type | Individual |
| Full Name | DR. BLAKE TISHMAN |
| Credential | D.C. |
| Practice Address |
6269 W Sample Rd Coral Springs FL 33067-3175 |
| Mailing Address |
1600 S Federal Hwy Ste 451 Pompano Beach FL 33062-7525 |
| Practice Telephone | 9545102225 |
| Practice Fax Number | 9545102227 |
| Mailing Telephone | 9545102225 |
| Mailing Fax Number | 7542061958 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH 10137 | FL | Chiropractic Providers |
| Street Address |
6269 W SAMPLE RD |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33067-3175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487822 | Amy Caplan Demner | Counselor | 5571 University Drive, Suite 101, Coral Springs, FL 33067 | 2019-10-06 |
| 1548825508 | Stacie Boyar | Counselor | 5941 N University Drive, Coral Springs, FL 33067 | 2019-05-06 |
| 1356818587 | National Vision Inc | Technician/Technologist | 6357 West Sample Road, Coral Springs, FL 33067 | 2018-10-25 |
| 1316423544 | R & S Dme Services, LLC | Durable Medical Equipment & Medical Supplies | 7551 Wiles Road, 103, Coral Springs, FL 33067 | 2018-07-11 |
| 1740787068 | Cleveland Clinic Florida (a Nonprofit Corporation) | Clinic/Center | 5701 North University Drive, Coral Springs, FL 33067 | 2018-04-12 |
| 1922500966 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5280 West Sample Road, Suite 203, Coral Springs, FL 33067 | 2018-03-06 |
| 1518481829 | Alissa Diaz | Pharmacist | 8360 Nw 51st Ct, Coral Springs, FL 33067 | 2017-07-28 |
| 1396267100 | Coral Springs Modern Dentistry, Pa | Dentist | 5810 Wiles Rd, Coral Springs, FL 33067 | 2017-07-13 |
| 1528595766 | Farahnaz Abdoly | Optometrist | 6357 W Sample Rd, Coral Springs, FL 33067 | 2017-05-18 |
| 1164894903 | Mar Christian Amoroso Panambo | Physical Therapist | 5900 West Sample Rd, 304, Coral Springs, FL 33067 | 2015-10-20 |
| Find all providers in zip 33067 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992337 | Ashley Mckenzie | Chiropractor | 1700 N University Dr Ste 300&301, Coral Springs, FL 33071-8970 | 2020-05-04 |
| 1265992762 | Schuh Family Chiropractic P L L C | Chiropractor | 5441 N University Dr Ste 102, Coral Springs, FL 33067-4640 | 2019-03-21 |
| 1316456817 | Physical Therapy Now Coral Springs LLC | Chiropractor | 5884 Wiles Rd, Coral Springs, FL 33067-2158 | 2017-09-27 |
| 1225565252 | Bryan George Stone | Chiropractor | 7501 Wiles Rd Ste 104, Coral Springs, FL 33067-2063 | 2017-05-22 |
| 1366878365 | Joseph A. Perez | Chiropractor | 10304 Nw 50th Ct, Coral Springs, FL 33076-1738 | 2013-09-23 |
| 1164866067 | Maan Dhanjal | Chiropractor | 8100 Royal Palm Blvd Ste 106, Coral Springs, FL 33065-5733 | 2013-04-22 |
| 1477896090 | Atlantic Medical, Inc | Chiropractor | 10414 W Atlantic Blvd, Coral Springs, FL 33071-5605 | 2013-04-02 |
| 1669745774 | Ron Wechsel, D.c., Inc. | Chiropractor | 2228 N University Dr, Coral Springs, FL 33071-6100 | 2012-02-21 |
| 1477822872 | Coral Square Health and Wellness Center, Inc. | Chiropractor | 736 Riverside Dr, Coral Springs, FL 33071-7006 | 2011-12-14 |
| 1366749392 | Frankie P. Rizzuto | Chiropractor | 2825 N University Dr Ste 100, Coral Springs, FL 33065 | 2011-02-28 |
| Find all providers in CORAL SPRINGS | ||||
| City | CORAL SPRINGS |
| Zip Code | 33067 |
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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.