Israel E Penate (NPI# 1427073329, PAC ID# 0547364283) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1427073329 |
| PAC ID by PECOS | 0547364283 |
| Professional Enrollment ID | I20070405000098 |
| Full Name | Israel E Penate |
| Organization Legal Name | DAVITA MEDICAL GROUP SOUTH FLORIDA LLC |
| Address |
9750 Nw 33rd St Suite 212 Coral Springs FL 33065-4081 |
| Phone Number | 9547555504 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678732294 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100189 | NORTHWEST MEDICAL CENTER |
| 100276 | BROWARD HEALTH CORAL SPRINGS |
| Address | Phone | Organization |
|---|---|---|
| 9750 Nw 33rd St, Suite 212, Coral Springs, FL 33065-4081 | 9547555504 | DAVITA MEDICAL GROUP SOUTH FLORIDA LLC |
| Organization Legal Name | DAVITA MEDICAL GROUP SOUTH FLORIDA LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mike Perl | Internal Medicine | Davita Medical Group South Florida LLC | 5901 Colonial Dr, Suite 301, Margate, FL 33063-5683 |
| Christine Marie Besette Miloscia | Family Medicine | Davita Medical Group South Florida LLC | 9750 Nw 33rd St, Suite 212, Coral Springs, FL 33065-4081 |
| Frederick C Polsky | Internal Medicine | Davita Medical Group South Florida LLC | 8327 W Atlantic Blvd, Coral Springs, FL 33071-7452 |
| John G Miloscia | Internal Medicine | Davita Medical Group South Florida LLC | 5901 Colonial Dr, Suite 301, Margate, FL 33063-5683 |
| Sergey Petrov | Internal Medicine | Davita Medical Group South Florida LLC | 5901 Colonial Dr, Suite 301, Margate, FL 33063-5683 |
| Yelena Zotova Bedard | Family Medicine | Davita Medical Group South Florida LLC | 9750 Nw 33rd St, Suite 212, Coral Springs, FL 33065-4081 |
| Amaury Gomez | Family Medicine | Davita Medical Group South Florida LLC | 9750 Nw 33rd St, Suite 212, Coral Springs, FL 33065-4081 |
| Street Address |
9750 NW 33RD ST SUITE 212 |
| City | CORAL SPRINGS |
| State | FL |
| Zip | 33065-4081 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawnette S Saddler | Internal Medicine | North Broward Hospital District | 9750 Nw 33rd St, Suite 202, Coral Springs, FL 33065-4081 |
| Barry K Waters | Rheumatology | American Arthritis and Rheumatology Associates LLC | 9750 Nw 33rd St, Suite 204, Coral Springs, FL 33065-4081 |
| Marie B Latouche | Nurse Practitioner | North Broward Hospital District | 9750 Nw 33rd St, Suite 202, Coral Springs, FL 33065-4081 |
| Nisseth J Urribarri | Obstetrics/gynecology | Vitalmd Group Holding LLC | 9750 Nw 33rd St, 120 Florida Perinatal Center LLC, Coral Springs, FL 33065-4000 |
| Christine Marie Besette Miloscia | Family Medicine | Davita Medical Group South Florida LLC | 9750 Nw 33rd St, Suite 212, Coral Springs, FL 33065-4081 |
| Avinash S Persad | Family Medicine | North Broward Hospital District | 9750 Nw 33rd St, Suite 220, Coral Springs, FL 33065-4081 |
| Simon C Wong | Internal Medicine | 9750 Nw 33rd St, Suite 210, Coral Springs, FL 33065-4081 | |
| Yelena Zotova Bedard | Family Medicine | Davita Medical Group South Florida LLC | 9750 Nw 33rd St, Suite 212, Coral Springs, FL 33065-4081 |
| Rony Porudominsky | Gastroenterology | Gastrocare LLP | 9750 Nw 33rd St, Suite 208, Coral Springs, FL 33065-4081 |
| Joshua Rycus | Family Medicine | 9750 Nw 33rd St, Suite 114, Coral Springs, FL 33065-4000 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elysee Sinclair | Allergy/immunology | 10167 Nw31st St, Suite 200, Coral Springs, FL 33065 | |
| Farzad M Esfahani | Pathology | First Path LLC | 3000 Coral Springs Dr, Coral Springs, FL 33065 |
| Ronald F Giffler | Pathology | First Path LLC | 3000 Coral Springs Dr, Coral Springs, FL 33065 |
| Peter S Johnson | Pathology | First Path LLC | 3000 Coral Springs Dr, Coral Springs, FL 33065 |
| Maya Bat Ami | Psychologist, Clinical | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 | |
| Ilyssa M Hershey | Psychologist, Clinical | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 | |
| James N Kraut | Psychologist, Clinical | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 | |
| Nicole Witteboon | Clinical Social Worker | Nicole Witteboon Inc | 2855 N University Dr, Suite 200, Coral Springs, FL 33065-1403 |
| Bruce S Selden | Otolaryngology | 2855 N University Dr, Suite 300, Coral Springs, FL 33065-1404 | |
| Floyd Leigh Phillips Iii | Plastic and Reconstructive Surgery | 2855 N University Dr, Suite 400, Coral Springs, FL 33065-1408 | |
| Find all physicians in zip 33065 | |||
| City | CORAL SPRINGS |
| Zip Code | 33065 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CORAL SPRINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Israel E Penate.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.