MAJESTY MEDICAL ASSOCIATES LLC (NPI# 1447694948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447694948 |
| Entity Type | Organization |
| Organization Name | MAJESTY MEDICAL ASSOCIATES LLC |
| Practice Address |
1447 Medical Park Blvd Suite 405 Wellington FL 33414-3164 |
| Mailing Address |
9696 Phipps Ln Wellington FL 33414-3404 |
| Practice Telephone | 5617927454 |
| Practice Fax Number | 5617927488 |
| Mailing Telephone | 5612674701 |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | DR. PEDRO NAM (DIRECTOR) |
| Authorized Official Telephone | 5617927454 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010046601 | 05 |
| Street Address |
1447 MEDICAL PARK BLVD SUITE 405 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017803 | Melissa E Carlson | Obstetrics & Gynecology | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2005-07-14 |
| 1942653274 | Amanda Kane | Nurse Practitioner | 1447 Medical Park Blvd, Suite 406, Wellington, FL 33414-3164 | 2016-07-21 |
| 1215319645 | Medical Park Surgery Center LLC | Clinic/Center | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2015-06-22 |
| 1548657216 | Florida Surgical Associates LLC | Specialist | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2015-04-21 |
| 1811309867 | Allergy and Asthma Specialists of South Florida LLC | Allergy & Immunology | 1447 Medical Park Blvd, Suite 406, Wellington, FL 33414-3164 | 2014-05-27 |
| 1699018838 | Stacha-keimone Kayana Newell | Nurse Practitioner | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2013-04-05 |
| 1639443534 | Jeroen Balledux Md LLC | Plastic Surgery | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2012-02-24 |
| 1629356357 | Danni Driscoll Md Pa | Anesthesiology | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2011-07-29 |
| 1437453180 | Fakhoury, Md, LLC | Neurological Surgery | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2011-01-10 |
| 1861658510 | Palm Beach Brain and Spine, LLC | Neurological Surgery | 1447 Medical Park Blvd, Suite 101, Wellington, FL 33414-3164 | 2008-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 |
|---|---|---|---|---|
| 1699322867 | Rdm Professional Services, Inc. | Internal Medicine | 437 Sw Rosemary Dr, Lake City, FL 32024-6715 | 2019-08-22 |
| 1114360831 | Pratik A Patel | Internal Medicine | 8041 Spyglass Hill Rd Ste 102, Melbourne, FL 32940-8559 | 2013-04-11 |
| 1346426178 | Raul M Templonuevo I | Internal Medicine | 5749 Norman H Cutson Dr, Orlando, FL 32821-5532 | 2008-01-10 |
| 1720108467 | Julio Arce | Internal Medicine | 8895 Tanglewood Pl, Apt 423, Tampa, FL 33617-6224 | 2007-03-29 |
| 1356479216 | Inderjit Kaur Bhullar | Internal Medicine | 17919 Simms Rd, Odessa, FL 33556-4758 | 2007-03-01 |
| 1982730016 | Laine Sheppard | Internal Medicine | 250 Brent Ln, Pensacola, FL 32503-2267 | 2007-02-25 |
| 1861540544 | Narendra K Maheshwari Md Pa | Internal Medicine | 601 E Sample Rd Ste 101, Pompano Beach, FL 33064-4443 | 2007-01-08 |
| 1548228265 | Madhavi Uppalapati | Internal Medicine | 1301 S International Pkwy, Suite 1001, Lake Mary, FL 32746-1409 | 2006-05-02 |
| 1114982014 | Rajesh B Dave | Internal Medicine | 6424 Embassy Blvd Ste A, Port Richey, FL 34668-4980 | 2006-04-20 |
| 1306817135 | Gil Emmanuel A Mejia | Internal Medicine | 4102 W Linebaugh Ave, Suite 100, Tampa, FL 33624-5296 | 2006-01-30 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
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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.