Jacklyn Reyes Pancrudo (NPI# 1003046962, PAC ID# 7012134992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1003046962 |
| PAC ID by PECOS | 7012134992 |
| Professional Enrollment ID | I20140818000730 |
| Full Name | Jacklyn Reyes Pancrudo |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Address |
2801 N State Rd Suite 7 Margate FL 33063-5727 |
| Phone Number | 5619970821 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244269413 |
| Number of Group Practice Members | 248 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100204 | NORTH FLORIDA REGIONAL MEDICAL CENTER |
| 490112 | CJW MEDICAL CENTER |
| 490107 | RESTON HOSPITAL CENTER |
| 330104 | NYACK HOSPITAL |
| 440161 | TRISTAR CENTENNIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 119 Oakfield Dr, Brandon, FL 33511-5779 | 5619970821 | INTENSIVE CARE CONSORTIUM INC |
| 2801 N State Rd, Suite 7, Margate, FL 33063-5727 | 5619970821 | INTENSIVE CARE CONSORTIUM INC |
| 2300 Patterson St, Nashville, TN 37203-1538 | 5619970821 | INTENSIVE CARE CONSORTIUM INC |
| 160 N Midland Ave, Nyack, NY 10960-1912 | 8453482000 | CRITICAL CARE PHYSICIAN OF NEW YORK PC |
| 1850 Town Ctr Pkwy, Reston, VA 20190-3204 | 7036899000 | INTENSIVE CARE CONSORTIUM INC |
| 7101 Jahnke Rd, Richmond, VA 23225-4017 | 8044830000 | INTENSIVE CARE CONSORTIUM INC |
| Organization Legal Name | INTENSIVE CARE CONSORTIUM INC |
| Physicians | 219 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soowhan Lah | Critical Care (intensivists) | Intensive Care Consortium Inc | 1200 E 3900, Salt Lake City, UT 84124-1300 |
| Disha Awasthi | Pulmonary Disease | Intensive Care Consortium Inc | 355 New Shackle Island Rd, Hendersonville, TN 37075-2479 |
| Ali Ashraf | Pulmonary Disease | Intensive Care Consortium Inc | 700 W Oak St, Kissimmee, FL 34741-4996 |
| Christine D Lallos | Anesthesiology | Intensive Care Consortium Inc | 350 Hospital Dr, Macon, GA 31217-3838 |
| Shawn W Blouin | Nurse Practitioner | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Gina Marie Iacovella | Critical Care (intensivists) | Intensive Care Consortium Inc | 119 Oakfield Dr, Brandon, FL 33511-5779 |
| Rajiv Malhotra | Pulmonary Disease | Intensive Care Consortium Inc | 7101 Jahnke Rd, Richmond, VA 23225-4017 |
| Azzat Abdulghani Ali | Critical Care (intensivists) | Intensive Care Consortium Inc | 9330 State Rd, Suite 54, Trinity, FL 34655-1808 |
| Geoffrey Andrew Loh | Critical Care (intensivists) | Intensive Care Consortium Inc | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Rachael L Sargent | Nurse Practitioner | Intensive Care Consortium Inc | 333 Borthwick Ave, Portsmouth, NH 03801-4198 |
| Street Address |
2801 N STATE RD SUITE 7 |
| City | MARGATE |
| State | FL |
| Zip | 33063-5727 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kamran Ajami | Pathology | Integrated Regional Laboratories Pathology Services, LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| David Porudominsky | General Surgery | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Roi M Bittane | Diagnostic Radiology | Radiology Physician Solutions of Florida LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Alejandro E Rodriguez-hernandez | Anesthesiology | Sheridan Healthcorp Inc | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Anju Mani | Family Medicine | Tradewinds Park Inpatient Services, LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Matthew G Buckler | Diagnostic Radiology | Radiology Physician Solutions of Florida LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Jasmine Pierre | Emergency Medicine | Coconut Creek Emergency Physicians, LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Hernan C Del Arca | Diagnostic Radiology | Radiology Physician Solutions of Florida LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Joseph P Corallo Jr. | Colorectal Surgery (proctology) | South Florida Surgical Specialists LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Christina M Fallacaro | Certified Nurse Midwife (cnm) | Institute for Women's Health and Body LLC | 2801 N State Rd, Suite 7, Margate, FL 33063-5727 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donghua Xie | Urology | 5605 Nw 29th St, Margate, FL 33063-1531 | |
| Norma I Barbosa Rivera | Internal Medicine | Continucare Medical Management Inc | 5643 Nw 29th St, Margate, FL 33063-1531 |
| Lee J Phillips | Diagnostic Radiology | Cardio Nuclear Diagnostics | 5667 Coral Gate Blvd, Margate, FL 33063-1531 |
| Carlos A Corrales | Internal Medicine | 5661 Nw29th St, Margate, FL 33063-1531 | |
| David S Robinson | General Surgery | Advanced General Surgery Pa | 5651 Nw29th St, Margate, FL 33063-1531 |
| Marcia C Sasso | Chiropractic | 5663 Nw 29th St, Margate, FL 33063-1531 | |
| Sandra Castro-urganus | Internal Medicine | Continucare Medical Management Inc | 5643 Nw 29th St, Margate, FL 33063-1531 |
| Indrek Miidla | General Surgery | Advanced General Surgery Pa | 5651 Nw29th St, Margate, FL 33063-1531 |
| Ross J Schwarz | Internal Medicine | Rma Medical Centers of Florida LLC | 1316 N State Rd, Suite 7, Margate, FL 33063-2843 |
| Barbara Martin | Internal Medicine | Rma Medical Centers of Florida LLC | 1316 N State Rd, Suite 7, Margate, FL 33063-2843 |
| Find all physicians in zip 33063 | |||
| City | MARGATE |
| Zip Code | 33063 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MARGATE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jacklyn Reyes Pancrudo.
| 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.