VEIN CLINIC OF THE PALM BEACHES LLC (NPI# 1790875565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790875565 |
| Entity Type | Organization |
| Organization Name | VEIN CLINIC OF THE PALM BEACHES LLC |
| Practice Address |
115 Ne 3rd St Suite B&c Okeechobee FL 34972-2901 |
| Practice Telephone | 8633570888 |
| Practice Fax Number | 8633571330 |
| Mailing Telephone | 8633570888 |
| Mailing Fax Number | 8633571330 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | DR. LUIS R ROSAS (OWNER) |
| Authorized Official Telephone | 6155072283 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
115 NE 3RD ST SUITE B&C |
| City | OKEECHOBEE |
| State | FL |
| Zip Code | 34972-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093783292 | Open Mri of Okeechobee LLC | Radiology | 115 Ne 3rd St, Suite A, Okeechobee, FL 34972-2944 | 2006-03-14 |
| 1871748269 | Kenneth F Haas M D P A | Internal Medicine | 115 Ne 3rd St, Okeechobee, FL 34972-2901 | 2008-11-26 |
| 1568593465 | Hematology Oncology Associates of The Palm Beaches | Internal Medicine | 115 Ne 3rd St, Okeechobee, FL 34972-2944 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332439 | Jennifer Elisha Tillman | Case Manager/Care Coordinator | 304 Nw 5th St Plaza 300, Okeechobee, FL 34972 | 2020-07-01 |
| 1265923379 | Terry Oneal Williams | Adult Companion | 1112 Nw Park Street, Okeechobee, FL 34972 | 2018-05-24 |
| 1720445414 | Anchor Dental Okeechobee, Pa | Dentist | 608 North Parrot Ave, Okeechobee, FL 34972 | 2016-01-26 |
| 1538436522 | Everglades Pediatric Dentistry, LLC | Dentist | 2029 Highway 441 North, Okeechobee, FL 34972 | 2011-11-19 |
| 1023301009 | Casandra Denise Wait | Developmental Therapist | 314 Nw 5th Street, Suite 314, Okeechobee, FL 34972 | 2011-05-24 |
| 1710205224 | Jeannie Moore Anderson | Mechanotherapist | 1865 Nw 5th St, Okeechobee, FL 34972 | 2010-05-07 |
| 1619128162 | Frances Elizabeth Fongkin | Nurse Practitioner | 208 Ne 19th Drive, Okeechobee, FL 34972 | 2008-10-02 |
| 1356528210 | Raulerson Gyn LLC | Obstetrics & Gynecology | 1713 Highway 441 North, Suite F, Okeechobee, FL 34972 | 2008-01-23 |
| 1952529745 | Michael A Garvin Dpm Pa | Podiatrist | 235 Ne 19th Drive, Okeechobee, FL 34972 | 2007-04-24 |
| 1730306473 | George Lee Roberson | Social Worker | 16800 N Hwy 441, Okeechobee, FL 34972 | 2007-04-20 |
| Find all providers in zip 34972 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609135755 | Sainnoval Surgical, LLC | Surgery | 105 Ne 19th Dr, Okeechobee, FL 34972-1933 | 2012-05-10 |
| 1407082472 | Sun Surgical, LLC | Surgery | 245 Ne 19th Dr, Okeechobee, FL 34972-1933 | 2009-06-04 |
| 1144479817 | Carlos Alejo | Surgery | 1713 Us Highway 441 N Ste H, Okeechobee, FL 34972-1900 | 2008-09-17 |
| 1699719427 | Raulerson General Surgery Group LLC | Surgery | 109 Ne 19th Dr, Okeechobee, FL 34972-1933 | 2006-06-15 |
| 1285733097 | Manuel G Garcia | Surgery | 306 Ne 19th Drive, Okeechobee, FL 34972 | 2006-09-21 |
| 1457396814 | Philip Moyer | Surgery | 1713 Hwy 441 N, Ste H, Okeechobee, FL 34972 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301263 | Heather Marie Gable | Surgery | 6150 Diamond Centre Ct # 1300, Fort Myers, FL 33912-4367 | 2020-09-21 |
| 1932713476 | Gabriel Nicolas Chapman | Surgery | 12301 Trout Cir, Spring Hill, FL 34609-4962 | 2020-09-02 |
| 1396356960 | After Hours Surgical Care LLC | Surgery | 11766 Foxbriar Lake Trl, Boynton Beach, FL 33473-7830 | 2020-08-16 |
| 1588288203 | Samuel Joseph | Surgery | 22730 Sw 55th Ave, Boca Raton, FL 33433-6258 | 2020-05-29 |
| 1720601768 | Ked Medical, P.a. | Surgery | 3001 N Rocky Point Dr E Ste 100, Tampa, FL 33607-5860 | 2020-05-26 |
| 1952922270 | Glenn Edmund Bryan Jr. | Surgery | 4255 N Us Highway 1, Melbourne, FL 32935-4822 | 2020-04-27 |
| 1821618729 | Herbert Paul Lerner | Surgery | 10815 Royal Devon Way, Lake Worth, FL 33449-8650 | 2020-04-21 |
| 1003441981 | Comprehensive Care Partners | Surgery | 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 | 2020-03-11 |
| 1831749977 | Imed Surgical of Miami, Pa | Surgery | 175 Sw 7th St Ste 1710, Miami, FL 33130-2957 | 2019-09-19 |
| 1174170914 | Vip Surgeries | Surgery | 1301 E Broward Blvd Ste 220, Fort Lauderdale, FL 33301-2111 | 2019-08-26 |
| Find all providers with the same taxonomy | ||||
| City | OKEECHOBEE |
| Zip Code | 34972 |
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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.