TITAN HEALTH TEAM, INC. (NPI# 1457852840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457852840 |
| Entity Type | Organization |
| Organization Name | TITAN HEALTH TEAM, INC. |
| Practice Address |
4 Westgate Ln Apt C Boynton Beach FL 33436-6358 |
| Practice Telephone | 5162244157 |
| Practice Fax Number | 5168644599 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | DR. DENISE C SANTUCCI (PRESIDENT) |
| Authorized Official Telephone | 5162244157 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | TITAN HEALTH TEAM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
225164 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02365837 | 05 |
| Street Address |
4 WESTGATE LN APT C |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33436-6358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130498 | Maureen Ann Stewart | Technician | 189 Citrus Trail Circle, Boynton Beach, FL 33436 | 2020-07-01 |
| 1124650692 | Marie Guerlande Cius | Nurse Practitioner | Jfk Medical Center, Atlantis, FL 33436 | 2020-02-12 |
| 1336785609 | Dorri's Dental P.a. | Dentist | 12658 S. Military Trail, Suite #104, Boynton Beach, FL 33436 | 2019-11-21 |
| 1356986335 | Valerie Delbrun | Nurse Practitioner | 1046 Arezzo Circle Boyton Beach Fl 33436, Boyton Beach, FL 33436 | 2019-11-13 |
| 1376037374 | Shannon M Mitchell | Clinic/Center | 3900 Max Place, Unit 101, Boynton Beach, FL 33436 | 2018-06-22 |
| 1780198978 | Procare Dentistry | Dentist | 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 | 2017-11-27 |
| 1144733163 | Gerardo Alberto Casteleiro | Counselor | 58 Misty Meadow Drive, Boynton Beach, FL 33436 | 2017-11-13 |
| 1346767183 | Marcken Volmy | Counselor | 79 Baytree Circle, Boynton Bea H, FL 33436 | 2017-08-23 |
| 1821512476 | Local Recovery, LLC | Counselor | 200 Knuth Road, Suite 228, Boynton Beach, FL 33436 | 2017-07-26 |
| 1164944534 | Stephanie Joseph | Nurse Practitioner | 3658 Stratton Lane, Boynton Beach, FL 33436 | 2017-07-07 |
| Find all providers in zip 33436 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457784084 | Medical Clinics P.a. | Clinic/Center | 499 Boynton Bay Cir, Boynton Beach, FL 33435-2578 | 2013-08-19 |
| 1881032258 | Sara N Garcia Md Pa | Clinic/Center | 625 Se 2nd Ave Ste A, Boynton Beach, FL 33435-5065 | 2013-06-07 |
| 1497152946 | Medcare Now LLC | Clinic/Center | 1050 Gateway Blvd, Ste 101, Boynton Beach, FL 33426-8368 | 2014-11-28 |
| 1336472190 | Primus Medical Group, LLC | Clinic/Center | 10817 S Jog Rd, Suite 230, Boynton Beach, FL 33437-0911 | 2009-09-11 |
| 1669607636 | Cambridge Medical Group of West Boynton LLC | Clinic/Center | 10817 S Jog Rd, Suite 230, Boynton Beach, FL 33437-0911 | 2009-05-20 |
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| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33436 |
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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.