PROVIDERS HEALTH ALLIANCE, LLC (NPI# 1689064834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689064834 |
| Entity Type | Organization |
| Organization Name | PROVIDERS HEALTH ALLIANCE, LLC |
| Practice Address |
12955 Palms West Dr Ste 203 Loxahatchee FL 33470-9217 |
| Mailing Address |
11924 Forest Hill Blvd Ste 10a-138 Wellington FL 33414-6256 |
| Practice Telephone | 5612315200 |
| Practice Fax Number | 5612315201 |
| Mailing Telephone | 5612934301 |
| Mailing Fax Number | 5618283111 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | MRS. TINA DOCHNIAK (PRESIDENT) |
| Authorized Official Telephone | 5612934305 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6056 Boynton Beach Blvd Ste 115, Boynton Beach, FL 33437 | 5617081760 | 5614699375 |
| Street Address |
12955 PALMS WEST DR STE 203 |
| City | LOXAHATCHEE |
| State | FL |
| Zip Code | 33470-9217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093115339 | Dhrupa B Desai | Family Medicine | 12955 Palms West Dr Ste 203, Loxahatchee, FL 33470-4993 | 2014-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638139 | Jang Nga Zeng | Physician Assistant | 5980 Kingfisher Blvd, Westlake, FL 33470 | 2020-01-16 |
| 1295290393 | Truepartners Westlake Emergency Specialists Pllc | Emergency Medicine | 16750 Persimmon Blvd, Westlake, FL 33470 | 2019-02-04 |
| 1952870818 | Luz Miryan Alexandra Torrente | Behavior Technician | 15932 75th Ln, Loxahatchee, FL 33470 | 2018-11-20 |
| 1508365495 | Simone E Mack | Counselor | 17334 W. Sycamore Dr., Loxahatchee, FL 33470 | 2018-02-06 |
| 1578083218 | Lugdie Marguerite Jonassaint | Registered Nurse | 14842-69 Street N., Treasured Lives Alf Inc C/o Lugdie Jonassaint, Loxahatchee, FL 33470 | 2017-06-23 |
| 1255877932 | Jose Desmarais | Nurse Practitioner | 12953 Palms West Dr Ste 102, Loxahatchee, FL 33470 | 2017-01-18 |
| 1457704314 | Premier Transitions Mht LLC | Internal Medicine | 17888 67th Court North, Loxahatchee, FL 33470 | 2016-07-15 |
| 1851747083 | Groves Dental Care P.a. | Clinic/Center | 15673 Southern Blvd., 109, Loxahatchee Groves, FL 33470 | 2016-05-06 |
| 1376959486 | Yun-long Chi | Acupuncturist | 12957 Palms West Dr Ste 201, Loxahatchee, FL 33470 | 2014-07-09 |
| 1629334081 | Kui-tzu Victoria Feng | Internal Medicine | 12957 Palms West Dr Ste 204, Loxahatchee, FL 33470 | 2012-04-10 |
| Find all providers in zip 33470 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625060 | Wellington Primary Care LLC | Internal Medicine | 12959 Palms West Dr Ste 210, Loxahatchee, FL 33470-4940 | 2020-07-05 |
| 1477102911 | International Multi-specialty Physicians Inc | Internal Medicine | 12959 Palms West Dr Ste 110, Loxahatchee, FL 33470-4938 | 2019-09-07 |
| 1457704314 | Premier Transitions Mht LLC | Internal Medicine | 17888 67th Court North, Loxahatchee, FL 33470 | 2016-07-15 |
| 1801932314 | Wellington Medical Associates | Internal Medicine | 12953 Palms West Dr Ste 202, Loxahatchee, FL 33470-4992 | 2007-01-30 |
| 1497820070 | Victor Joseph Genchi | Internal Medicine | 2619 Palm Deer Dr, Loxahatchee, FL 33470-2563 | 2006-11-21 |
| 1710997994 | Karen R Kutikoff | Internal Medicine | 12957 Palms West Drive, Suite 201, Loxahatchee, FL 33470 | 2006-08-09 |
| 1942249446 | Robin Braver | Internal Medicine | 12989 Southern Blvd, # 204, Loxahatchee, FL 33470-9211 | 2006-06-06 |
| 1851340103 | David Augustus Miller | Internal Medicine | 12977 Southern Blvd Ste 202, Loxahatchee, FL 33470 | 2006-05-06 |
| 1215998208 | Fausta Nazaire | Internal Medicine | 12977 Southern Blvd, Suite 100, Loxahatchee, FL 33470-9255 | 2006-03-29 |
| 1033111687 | David A Evans | Internal Medicine | 13005 Southern Blvd, Suite 213, Loxahatchee, FL 33470-9206 | 2005-08-12 |
| Find all providers in LOXAHATCHEE | ||||
| City | LOXAHATCHEE |
| Zip Code | 33470 |
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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.