INSTITUTE FOR COLLEGIATE SPORTS MEDICINE (NPI# 1730426305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730426305 |
| Entity Type | Organization |
| Organization Name | INSTITUTE FOR COLLEGIATE SPORTS MEDICINE |
| Practice Address |
3511 Sahara Springs Blvd Pompano Beach FL 33069-6101 |
| Mailing Address |
Po Box 669582 Pompano Beach FL 33066-9582 |
| Practice Telephone | 9542045428 |
| Mailing Telephone | 9542045428 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | BRIAN ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 9542045428 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3511 SAHARA SPRINGS BLVD |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33069-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665171 | Patricia Michelle Cooper | Social Worker | Memory Training Centers of America At The Court of Palm, 2701 N. Course Dr., Pompano Beach, FL 33069 | 2019-08-23 |
| 1427619253 | Julio Salas | Dentist | Bcfhc Dental Office, 162 North Powerline Road, Pompano Beach, FL 33069 | 2019-06-24 |
| 1104327758 | Otanys Garcia Hernandez | Behavior Technician | 3433 Sands Habor Trace, Pompano Beach, FL 33069 | 2018-02-27 |
| 1497271209 | Angel A Martinez | Nursing Care | 3235 Nw 2nd St, Unit 104, Pompano Beach, FL 33069 | 2017-08-15 |
| 1134666274 | Michele Nadine Innocent | Nurse Practitioner | 2031 Nw 6th Court, Pompano Beach, FL 33069 | 2017-01-27 |
| 1942743554 | Certified Spine and Pain Care | Pain Medicine | 150 Sw 12th Ave Ste 101a, Pompano Beach, FL 33069 | 2016-11-30 |
| 1245691641 | Patrick Arends | Registered Nurse | 2500 Nw Manor, Pompano Beach, FL 33069 | 2016-03-11 |
| 1962862011 | Ashley Minkus | Registered Nurse | 2500 Nw 29th Manor, Pompano Beach, FL 33069 | 2016-03-02 |
| 1962892828 | Christina Celia | Behavioral Analyst | 3520 Oaks Way #904, Pompano Beach, FL 33069 | 2015-01-30 |
| 1588949382 | Gary Wayne Foulk | Pharmacist | 2401 W Atlantic Blvd, Pompano Beach, FL 33069 | 2011-10-13 |
| Find all providers in zip 33069 | ||||
| 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 |
|---|---|---|---|---|
| 1952921884 | Rejuvenate Your Health LLC | Family Medicine | 12 N Federal Hwy Ste A101, Pompano Beach, FL 33062-4305 | 2020-04-21 |
| 1124683677 | Vedrine Healthcare, LLC | Family Medicine | 6350 Nw 41st Terrace, Pompano Beach, FL 33073 | 2019-05-09 |
| 1710477369 | Primary Care Physicians of Hollywood, Pl | Family Medicine | 2701 E Atlantic Blvd Fl 1, Pompano Beach, FL 33062-4941 | 2018-05-18 |
| 1700385093 | South Florida Care Center, Inc. | Family Medicine | 2025a N Dixie Hwy, Pompano Beach, FL 33060-4968 | 2018-02-01 |
| 1689114654 | Promedical Centers Corp | Family Medicine | 3402 N Andrews Avenue Ext, Pompano Beach, FL 33064-2067 | 2017-02-24 |
| 1326432014 | Bachoo Singh Md Pa | Family Medicine | 2700 Ne 14th St # 101, Pompano Beach, FL 33062-3561 | 2015-03-20 |
| 1801144043 | Pompano Medical Center,inc | Family Medicine | 2700 Ne 14 St, #101, Pompano Beach, FL 33062-3561 | 2012-08-20 |
| 1982928560 | Marc Edward Tennenbaum | Family Medicine | 3900 N Powerline Rd, Pompano Beach, FL 33073-3013 | 2010-03-25 |
| 1538498761 | Pompano Beach Medical Corporation | Family Medicine | 553 East Sample Road, Pompano Beach, FL 33064 | 2009-12-17 |
| 1487897534 | West Dixie Health Center Inc. | Family Medicine | 703 S Dixie Hwy W, Pompano Beach, FL 33060-8221 | 2009-04-18 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33069 |
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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.