INTERVENTIONAL SPECIALISTS OF SOUTH FLORIDA PLLC (NPI# 1447735071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447735071 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL SPECIALISTS OF SOUTH FLORIDA PLLC |
| Practice Address |
10101 Forest Hill Blvd Wellington FL 33414-6103 |
| Mailing Address |
3461 Fairlane Farms Rd Wellington FL 33414-8752 |
| Practice Telephone | 5613247898 |
| Mailing Telephone | 5613247898 |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2018-09-29 |
| Authorized Official Name | JUAN GOMEZ (CEO) |
| Authorized Official Telephone | 5663247898 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
10101 FOREST HILL BLVD |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788667 | Leonid Zaslavskiy | Anesthesiology | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2005-08-26 |
| 1033734462 | Stacey Ann Loffredo | Nurse Anesthetist, Certified Registered | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-06-11 |
| 1881213536 | Autumn Lee Davis | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-13 |
| 1053940320 | Courtney Konchan | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-07 |
| 1841829744 | Mirsha Stiven | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-04-03 |
| 1912534520 | Ashleigh Dugas Dupuy | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2020-03-24 |
| 1982163515 | Winta Haile Assefaw | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-13 |
| 1629537287 | Anastasia Veresciac | Student in an Organized Health Care Education/Training Program | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-13 |
| 1609334531 | Tamara Coleburn | Nurse Practitioner | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-11 |
| 1811455173 | Andrea Erickson | Physician Assistant | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2019-03-06 |
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003476169 | Hss-florida Physicians LLC | Radiology | 1395 S State Road 7 Ste 410, Wellington, FL 33414-9327 | 2019-06-19 |
| 1881919124 | Emilio Enrique Lopez | Radiology | 10101 Forest Hill Blvd, Wellington, FL 33414-6103 | 2010-03-30 |
| 1932431913 | Radiology Management Group Inc | Radiology | 11101 S Crown Way, Suite 1, Wellington, FL 33414-8792 | 2010-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100917 | Emergency and Interventional Specialists, Inc | Radiology | 5626 Gulf Dr Ste 100, New Port Richey, FL 34652-4020 | 2020-09-23 |
| 1548879794 | Vascular Specialist of Venice and Sarasota Pl | Radiology | 6600 University Parkway, #102, Sarasota, FL 34240 | 2020-07-23 |
| 1164060497 | Advanced Vascular Cardiac & Veins, Pllc | Radiology | 7480 Bird Rd Ste 560, Miami, FL 33155-6657 | 2019-12-17 |
| 1801437041 | Premier Interventional & Diagnostic Radiology, Corp | Radiology | 8495 Sw 56th St, Miami, FL 33155-5426 | 2019-09-30 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1972006351 | Minimally Invasive Vascular, Inc | Radiology | 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 | 2018-03-13 |
| 1124530761 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 313 W Bass St, Kissimmee, FL 34741-5011 | 2017-11-03 |
| 1942727516 | Inspired Interventional Radiology Services LLC | Radiology | 11011 Sheridan St Ste 102, Hollywood, FL 33026-1501 | 2017-08-24 |
| 1386004901 | Precision Medical Imaging and Therapeutic Institute LLC | Radiology | 2540 Green Forest Ln, Suite #101, Lutz, FL 33558-5388 | 2016-02-24 |
| 1598172405 | Warren Swee Md Pa | Radiology | 2580 Metrocentre Blvd Suite 3, West Palm Beach, FL 33407 | 2014-07-14 |
| 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.