PUNAM GOPAL (NPI# 1780187716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780187716 |
| Entity Type | Individual |
| Full Name | PUNAM GOPAL |
| Credential | PA-C |
| Practice Address |
3507 Broadway West Palm Beach FL 33407-4841 |
| Practice Telephone | 5618428848 |
| Mailing Telephone | 5618428848 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3507 BROADWAY |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33407-4841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| 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 |
|---|---|---|---|---|
| 1326512617 | Fleura Cenatus | Physician Assistant | 1917 N Haverhill Rd Apt 1, West Palm Beach, FL 33417-4692 | 2019-01-19 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1073009353 | Kaitlyn Rose Green | Physician Assistant | 560 Village Blvd Suite #150, West Palm Beach, FL 33409 | 2018-07-10 |
| 1932555323 | Zoilemma Acosta | Physician Assistant | 4232 Colt Ln, West Palm Beach, FL 33406-2936 | 2016-05-04 |
| 1528436649 | Farah Alli | Physician Assistant | 2007 Palm Bch Lk Blvd, West Palm Beach, FL 33409-6501 | 2015-09-05 |
| 1811238272 | Gioconda Alicia Boaz | Physician Assistant | 2685 Forest Hill Blvd, West Palm Beach, FL 33406-5930 | 2013-03-11 |
| 1932452158 | Joseph Radich | Physician Assistant | 1411 N Flagler Dr Ste 9000, West Palm Beach, FL 33401-3421 | 2012-10-25 |
| 1023380599 | Neesha R Patel | Physician Assistant | 2047 Palm Beach Lakes Blvd Ste 300, West Palm Beach, FL 33409-6500 | 2012-01-31 |
| 1255578761 | Bristol Dominguez | Physician Assistant | 717 Mcintosh St, West Palm Beach, FL 33405-3145 | 2009-01-21 |
| 1093858771 | Bradley Scott Burdette I | Physician Assistant | 7240 7th Pl N, West Palm Beach, FL 33411-3801 | 2007-02-14 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33407 |
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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.