PATRICK J JUSTIZ (NPI# 1629165329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629165329 |
| Entity Type | Individual |
| Full Name | PATRICK J JUSTIZ |
| Credential | MD |
| Practice Address |
5051 Se 110th St Belleview FL 34420-3115 |
| Mailing Address |
12876 Packwood Rd N Palm Beach FL 33408-2246 |
| Practice Telephone | 3526741730 |
| Practice Fax Number | 3526748930 |
| Mailing Telephone | 5613853133 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A63347 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | ME80578 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS | A63347 | 01 |
| CA | BLUE SHIELD OF CALIFORNIA | 00G601660 | 01 |
| CA | CMSP | 115 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5920 West Mall, Atascadero, CA 93422 | 8054660676 | 8054668276 |
| Street Address |
5051 SE 110TH ST |
| City | BELLEVIEW |
| State | FL |
| Zip Code | 34420-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758799 | Stephen Edward Fischer | Internal Medicine | 5051 Se 110th St, Belleview, FL 34420-3115 | 2005-08-24 |
| 1942628649 | Brittany J Vogt | Physician Assistant | 5051 Se 110th St, Belleview, FL 34420-3115 | 2014-04-01 |
| 1336349893 | Nira Colyn | Internal Medicine | 5051 Se 110th St, Belleview, FL 34420-3115 | 2007-07-23 |
| 1164492864 | Mukti B Patel | Physician Assistant | 5051 Se 110th St, Belleview, FL 34420-3115 | 2006-01-25 |
| 1578541223 | Susan E. Bonenclark | Physician Assistant | 5051 Se 110th St, Belleview, FL 34420-3115 | 2006-01-04 |
| 1396731519 | Joseph C Hildner Md Inc | Family Medicine | 5051 Se 110th St, Belleview, FL 34420-3115 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227726 | Madison Ruth Oglesby | Behavior Technician | 10252 S Us Hwy 441 Units 3 4, Belleview, FL 34420 | 2020-02-19 |
| 1104458496 | Patricia A Jackson | Behavior Technician | 10252 S Hwy 441, Unit 3, Belleview, FL 34420 | 2020-02-05 |
| 1891251781 | Pamela M Swiss | Behavior Technician | 10252 S Hwy 441 Unit 3 and 4, Belleview, FL 34420 | 2019-02-15 |
| 1417412834 | Ashlynn Shearer | Behavior Technician | 10252 S Us Hwy 441, Units 3 & 4, Belleview, FL 34420 | 2019-02-11 |
| 1083178313 | Sheila Bush | Technician | 12791 Se 47th Ave, Belleview, FL 34420 | 2019-01-31 |
| 1124579974 | Tamara Lopez Diaz, Md. Pa | Family Medicine | 12301 Se Us Highway 441 Ste C, Belleview, FL 34420 | 2016-10-17 |
| 1780043992 | Katelyn Garrett | Registered Nurse | 11855 Se 74th Terrace, Belleview, FL 34420 | 2016-02-16 |
| 1982092458 | Tracy Mattia | Pharmacist | 11310 Se Us Hwy 301, Belleview, FL 34420 | 2015-01-06 |
| 1245666171 | Hayden Lee Durham I | Pharmacist | 10762 South Us 441, Belleview, FL 34420 | 2013-09-24 |
| 1285060608 | Cindy Marlene Merritt | Pharmacist | 10762 Se Hwy 441, Belleview, FL 34420 | 2013-09-17 |
| Find all providers in zip 34420 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124579974 | Tamara Lopez Diaz, Md. Pa | Family Medicine | 12301 Se Us Highway 441 Ste C, Belleview, FL 34420 | 2016-10-17 |
| 1609912336 | Melanie W Dees | Family Medicine | 4850 Se 110th St, Belleview, FL 34420-3118 | 2007-01-29 |
| 1043371222 | William Dent Mckinney Jr. | Family Medicine | 1 Mack Lane, Belleview, MO 63623 | 2006-12-12 |
| 1316956477 | Ronald P Shelley | Family Medicine | 6108 Se Front Rd, Belleview, FL 34420-7307 | 2006-08-07 |
| 1861472706 | Adrian Rivera-flores | Family Medicine | 10696 Se Us Highway 441, Belleview, FL 34420-2802 | 2006-01-18 |
| 1750615993 | Julia Megan O'malley-keyes | Family Medicine | 4850 Se 110th St, Belleview, FL 34420-3118 | 2009-09-21 |
| 1083866842 | Ronald P Shelley Pa | Family Medicine | 6108 Se Front Rd, Belleview, FL 34420-7307 | 2008-10-10 |
| 1205816550 | James M Brown | Family Medicine | 10696 Se Us Highway 441, Belleview, FL 34420-2802 | 2006-01-20 |
| 1437139789 | Robert K Rockower | Family Medicine | 10696 Se Us Highway 441, Belleview, FL 34420-2802 | 2006-01-20 |
| 1972581288 | Shirley A Ice | Family Medicine | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-01-06 |
| Find all providers in BELLEVIEW | ||||
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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.