DR. JORGE L MACIA (NPI# 1851486468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851486468 |
| Entity Type | Individual |
| Full Name | DR. JORGE L MACIA |
| Credential | MD |
| Practice Address |
115 Se 4th Street Boynton Beach FL 33435-4905 |
| Practice Telephone | 5617322701 |
| Practice Fax Number | 5617320354 |
| Mailing Telephone | 5617322701 |
| Mailing Fax Number | 5617320354 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME72663 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEA NUMBER | BM4551227 | 01 |
| Street Address |
115 SE 4TH STREET |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| 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 |
|---|---|---|---|---|
| 1346869237 | Guerry Cenord | Family Medicine | 7987 Clementine Dr, Boynton Beach, FL 33436-1605 | 2020-04-10 |
| 1841829512 | Christian E Sanon | Family Medicine | 1690 Renaissance Commons Blvd Apt 1301, Boynton Beach, FL 33426-7211 | 2020-04-05 |
| 1801363411 | Lisa Ann Antonczak | Family Medicine | 23 Pepperwood Ct, Boynton Beach, FL 33426-9351 | 2018-11-01 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1518481191 | Esther Thomas | Family Medicine | 115 Nw 14th Ave, Boynton Beach, FL 33435-2634 | 2017-07-26 |
| 1013430701 | Dawn M Sepulveda | Family Medicine | 10151 Enterprise Ctr Ste 106, Boynton Beach, FL 33437-3760 | 2017-07-25 |
| 1588186191 | Tyler J Provost | Family Medicine | 4600 N Ocean Blvd Ste 101, Boynton Beach, FL 33435-7365 | 2017-07-14 |
| 1609001106 | Trudell A Doctor | Family Medicine | 7730 Boynton Beach Blvd Ste 3, Boynton Beach, FL 33437-6155 | 2009-05-27 |
| 1265607501 | George Andricopoulos | Family Medicine | 2010 S Federal Hwy Apt I409, Boynton Beach, FL 33435-6912 | 2008-04-28 |
| 1497925085 | Donald Dunayer | Family Medicine | 5874 Crystal Shores Dr, Suite 107, Boynton Beach, FL 33437-5683 | 2008-03-10 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33435 |
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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.