ELITEHEALTH PRIMARY CARE GROUP (NPI# 1003175324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003175324 |
| Entity Type | Organization |
| Organization Name | ELITEHEALTH PRIMARY CARE GROUP |
| Practice Address |
1601 N Palm Ave Ste 109 Pembroke Pines FL 33026-3240 |
| Practice Telephone | 9544321511 |
| Practice Fax Number | 9544325195 |
| Mailing Telephone | 9544321511 |
| Mailing Fax Number | 9544325195 |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |
| Authorized Official Name | ALICIA LEDO (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 3056729989 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1601 N PALM AVE STE 109 |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487881 | Hayvin Perez | Nurse Practitioner | 1601 N Palm Ave Ste 109, Pembroke Pines, FL 33026-3240 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716279 | Village Medical Center, LLC. | Internal Medicine | 13400 Sw 10th St, Pembroke Pines, FL 33027-1833 | 2020-10-01 |
| 1316402886 | John V. Williams, M.d., Pa | Internal Medicine | 10071 Pines Blvd Ste A, Pembroke Pines, FL 33024-6182 | 2019-02-08 |
| 1467939652 | Clearcare LLC | Internal Medicine | 3157 N University Dr # 213, Pembroke Pines, FL 33024-2258 | 2018-07-20 |
| 1194215947 | Primary Care Physicians of Hollywood, Pl | Internal Medicine | 601 N Flamingo Rd Ste 104, Pembroke Pines, FL 33028-1007 | 2018-05-17 |
| 1770934119 | Serenity Plus Health Services LLC | Internal Medicine | 441 Nw 188th Ter, Pembroke Pines, FL 33029-3297 | 2016-06-27 |
| 1235509118 | Rma Medical Centers of Florida LLC | Internal Medicine | 3 Sw 129th Ave Ste 101, Pembroke Pines, FL 33027-1778 | 2015-10-05 |
| 1619374014 | Paul Isaacs | Internal Medicine | 6631 Sw 8th St, Pembroke Pines, FL 33023-1503 | 2014-12-01 |
| 1922438787 | Precision Health Inc | Internal Medicine | 17206 Nw 8th St, Pembroke Pines, FL 33029-3187 | 2013-11-14 |
| 1902238447 | James C Padula Do Inc | Internal Medicine | 3 Sw 129th Ave Ste 202, Pembroke Pines, FL 33027-1779 | 2013-08-07 |
| 1750669651 | Anthony F Brillante | Internal Medicine | 1601 Nw 114th Ave, Pembroke Pines, FL 33026-2539 | 2011-07-26 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
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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.