JFK INTERNAL MEDICINE FACULTY PRACTICE, LLC (NPI# 1467614651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467614651 |
| Entity Type | Organization |
| Organization Name | JFK INTERNAL MEDICINE FACULTY PRACTICE, LLC |
| Practice Address |
160 Jfk Dr Suite 102 Atlantis FL 33462-6632 |
| Practice Telephone | 5615486634 |
| Mailing Telephone | 5615486634 |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2009-06-12 |
| Authorized Official Name | MARTY PLEVAK (VP) |
| Authorized Official Telephone | 9547675787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
160 JFK DR SUITE 102 |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-6632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982694030 | Carlos A Leon | Internal Medicine | 160 Jfk Dr, Ste 102, Atlantis, FL 33462-6632 | 2005-10-28 |
| 1245781624 | Vivian Rosa | Licensed Practical Nurse | 160 Jfk Dr, Suite 102, Atlantis, FL 33462-6632 | 2016-10-20 |
| 1811343858 | Carlos J Rodriguez | Nurse Practitioner | 160 Jfk Dr, Suite 102, Atlantis, FL 33462-6632 | 2016-05-09 |
| 1427246628 | Kayode Olowe | Internal Medicine | 160 Jfk Dr, Suite 102, Atlantis, FL 33462-6632 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376889592 | Amy L. Budoff | Specialist | 456 Glenbrook Dr, Atlantis, FL 33462-1018 | 2012-12-15 |
| 1134499494 | Lewis J Burger | Specialist | 640 Atlantis Estates Way, Atlantis, FL 33462-1210 | 2012-01-04 |
| 1407074974 | Anthony Fitzgerald Walker Jr. | Specialist | 5053 Sout H Congress Ave., Ste. 204, Atlantis, FL 33461 | 2007-04-23 |
| 1407943426 | Allen H Bezner Md Pa | Specialist | 116 Jfk Dr, Bldg 110, Atlantis, FL 33462-6606 | 2006-10-10 |
| 1790883601 | Jeffrey Stuart Penner | Specialist | 130 John F Kennedy Dr Ste 201, Atlantis, FL 33462-1142 | 2006-09-21 |
| 1831292721 | Allen H Bezner | Specialist | 116 Jfk Drive, Atlantis, FL 33462-6606 | 2006-09-06 |
| 1073571063 | Manuel Rafael Bornia | Specialist | 180 Jfk Dr Ste 260, Atlantis, FL 33462-6642 | 2006-05-02 |
| 1902862808 | Atlantis Orthopaedics, P.a. | Specialist | 130 Jfk Dr, Suite 201, Atlantis, FL 33462-1141 | 2006-04-21 |
| 1477535136 | Ross G Stone | Specialist | 120 Jfk Dr, Suite 124, Atlantis, FL 33462-6623 | 2005-11-17 |
| 1134647878 | Coordinated Neurologic Services 2 | Specialist | 140 Jfk Dr Ste 146, Atlantis, FL 33462-6608 | 2017-09-01 |
| Find all providers in ATLANTIS | ||||
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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.