MR. NEIL BUCKOSH (NPI# 1457577025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457577025 |
| Entity Type | Individual |
| Full Name | MR. NEIL BUCKOSH |
| Credential | PA |
| Practice Address |
21000 Ne 28th Ave Ste 104 Aventura FL 33180-1421 |
| Practice Telephone | 3059371999 |
| Practice Fax Number | 3059312071 |
| Mailing Telephone | 3059371999 |
| Mailing Fax Number | 3059312071 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104114 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9104114 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21000 NE 28TH AVE STE 104 |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912987983 | Christian David Gonzalez | Anesthesiology | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2006-01-18 |
| 1942809959 | Stephanie Amortegui | Physician Assistant | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2020-10-21 |
| 1508406224 | Kareen Gail Phillipa Jones | Nurse Practitioner | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2020-01-10 |
| 1780222398 | Golden Physical Therapy Inc | Physical Therapist | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2019-12-13 |
| 1366916975 | Usa Sports Therapy Florida Inc | Physical Therapist | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2019-01-16 |
| 1164820692 | Florida Chiropractic & Sports, Inc | Chiropractor | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180 | 2014-12-16 |
| 1972945061 | Jeffrey Cara | Pain Medicine | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2013-07-18 |
| 1568809325 | Christian Gonzalez, Md, LLC | Internal Medicine | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2013-06-03 |
| 1972875227 | Raina Simone Hachet | Physician Assistant | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2012-02-02 |
| 1730479387 | Eduardo Jose Jusino | Anesthesiology | 21000 Ne 28th Ave Ste 104, Aventura, FL 33180-1421 | 2011-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1790253821 | Jessica Leah Levy | Physician Assistant | 19707 Turnberry Way Apt 18a, Aventura, FL 33180-4836 | 2018-11-06 |
| 1972834869 | Julia Domenica Larocca | Physician Assistant | 21110 Biscayne Blvd Ste 203, Aventura, FL 33180-1251 | 2010-01-17 |
| 1962433300 | Christina L Palino | Physician Assistant | 20814 W Dixie Hwy, Aventura, FL 33180-1147 | 2006-07-05 |
| 1427084565 | William J Love | Physician Assistant | 2999 Ne 191st St Ste 406, Aventura, FL 33180-3116 | 2006-06-23 |
| 1912463001 | Meghan Digiulio | Physician Assistant | 21150 Biscayne Blvd Ste 208, Aventura, FL 33180-1231 | 2019-02-14 |
| 1215405568 | Zachary John Demetriou | Physician Assistant | 21150 Biscayne Blvd Ste 208, Aventura, FL 33180-1231 | 2018-11-05 |
| 1356713648 | Danielle Davaros | Physician Assistant | 2925 Aventura Blvd Ste 205, Aventura, FL 33180-3108 | 2015-10-26 |
| 1588918932 | Danny J Palmer | Physician Assistant | 21110 Biscayne Blvd, Suite 203, Aventura, FL 33180-1227 | 2012-11-07 |
| 1447560446 | Madai Alina Gomez | Physician Assistant | 20814 W Dixie Hwy, Aventura, FL 33180-1147 | 2010-10-09 |
| Find all providers in AVENTURA | ||||
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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.