MEDJINE GUYBERTE ITALIEN (NPI# 1558866095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558866095 |
| Entity Type | Individual |
| Full Name | MEDJINE GUYBERTE ITALIEN |
| Credential | PA-C |
| Practice Address |
100 Nw 170th St Ste 410 North Miami Beach FL 33169-5511 |
| Mailing Address |
Po Box 12493 Miami FL 33101-2493 |
| Practice Telephone | 3056546850 |
| Practice Fax Number | 3056546858 |
| Mailing Telephone | 3055855315 |
| Mailing Fax Number | 3053552242 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9111139 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PA9111139 | 05 |
| Street Address |
100 NW 170TH ST STE 410 |
| City | NORTH MIAMI BEACH |
| State | FL |
| Zip Code | 33169-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093925539 | Khalid M Minhas | Internal Medicine | 100 Nw 170th St Ste 410, North Miami Beach, FL 33169-5511 | 2007-05-23 |
| 1093239659 | Maria Medina | Surgery | 100 Nw 170th St Ste 410, North Miami Beach, FL 33169-5511 | 2017-07-26 |
| 1750724381 | Jose Francisco Inzunza | Orthopaedic Surgery | 100 Nw 170th St Ste 410, North Miami Beach, FL 33169 | 2013-04-13 |
| 1437303658 | Elias Chousleb | Surgery | 100 Nw 170th St Ste 410, North Miami Beach, FL 33169-5511 | 2008-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1871158873 | Positive Point Inc | Substance Abuse Rehabilitation Facility | 111 Nw 183rd Street Suite 423, Miami, FL 33169 | 2019-05-06 |
| 1447736251 | Anoshah Justine Pierre | Nurse Practitioner | 580 Nw 189th Street, Miami, FL 33169 | 2018-07-15 |
| 1770074627 | Jorge E Quinzada | Occupational Therapist | 18350 Nw 2ave, Miami, Gardens,fl, FL 33169 | 2018-05-27 |
| 1043700578 | South Beach Detox LLC | Substance Abuse Rehabilitation Facility | 85 Nw 168th St, North Miami Beach, FL 33169 | 2018-05-10 |
| 1689197972 | Misurez Medical Center Corp | General Practice | 18350 Nw 2 Ave, 622, Miami Gardens, FL 33169 | 2017-07-19 |
| 1831619733 | Barbara C Chacon | Behavior Technician | 130 Nw 191 St, Miami, FL 33169 | 2017-06-21 |
| 1780041665 | Elizabeth Lovette Ugokwe | Registered Nurse | 330 North Biscayne River Drive, Miami, FL 33169 | 2016-01-22 |
| 1205221207 | Cristina Dou | Family Medicine | Vitas Hospice 16800 Nw 2nd Ave, Suite 400, Miami Beach, FL 33169 | 2015-04-06 |
| 1457757635 | Anthony Richard Denbow | Assisted Living Facility | 1074 Nw 153 Street, Miami, FL 33169 | 2014-11-14 |
| Find all providers in zip 33169 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942856083 | Loreley Alvarez | Physician Assistant | 383 Ne 173rd St, North Miami Beach, FL 33162-1807 | 2019-08-14 |
| 1841856838 | Sandy Jean-louis | Physician Assistant | 150 Nw 168th St Ste 305, North Miami Beach, FL 33169-6051 | 2019-05-15 |
| 1346734241 | Karan Rajpal | Physician Assistant | 18100 Ne 19th Ave Ste 102, North Miami Beach, FL 33162 | 2018-06-14 |
| 1598275208 | Yocheved Naomi Becker | Physician Assistant | 1100 Ne 171st St, North Miami Beach, FL 33162-2636 | 2017-10-07 |
| 1639693419 | Daniella Muller | Physician Assistant | 909 N Miami Beach Blvd Ste 503, North Miami Beach, FL 33162 | 2017-08-02 |
| 1790239150 | Samuel Butler | Physician Assistant | 2145 Ne 164th St Apt 632, North Miami Beach, FL 33162-4291 | 2016-08-15 |
| 1083995302 | Maria Margarita Salado | Physician Assistant | 18300 Ne 18 Ave, North Miami Beach, FL 33131 | 2011-08-31 |
| 1316138779 | Maria Theresa Schotte | Physician Assistant | 3690 Ne 167th St, North Miami Beach, FL 33160-3528 | 2007-08-09 |
| 1346239829 | James Charles Hancock | Physician Assistant | 3569 Ne 163rd St, North Miami Beach, FL 33160-4132 | 2005-10-18 |
| 1649820424 | Eileen Jo-anne Davidson | Physician Assistant | 16470 Ne 10th Ave, North Miami Beach, FL 33162-3710 | 2019-09-13 |
| Find all providers in NORTH MIAMI BEACH | ||||
| City | NORTH MIAMI BEACH |
| Zip Code | 33169 |
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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.