DR. ABRAHAM M OBUCHOWSKI (NPI# 1033104971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033104971 |
| Entity Type | Individual |
| Full Name | DR. ABRAHAM M OBUCHOWSKI |
| Credential | MD |
| Practice Address |
5301 South Congress Ave Atlantis FL 33462 |
| Mailing Address |
7700 West Sunrise Blvd Plantation FL 33322 |
| Practice Telephone | 5615483727 |
| Practice Fax Number | 5615481238 |
| Mailing Telephone | 8669578399 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 170100000X | Medical Genetics, Ph.D. Medical Genetics | ME109182 | FL | Other Service Providers |
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
ME109182 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 3305800 | 05 | |
| FL | FL MEDICARE | P02366621 | 01 |
| FL | BC/BS | 14C42 | 01 |
| FL | FL HFMG MEDICARE | KK383 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 Hickory St, Melbourne, FL 329013224 | 3214341771 | 3214341775 |
| Street Address |
5301 SOUTH CONGRESS AVE |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386817195 | Richard E. Priday | Registered Nurse | 5301 South Congress Ave, Atlantis, FL 33462 | 2008-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528602794 | My Vital View, LLC | Radiology | 2194 Highway A1a Ste 107, Indian Harbour Beach, FL 32937-4955 | 2019-10-31 |
| 1124432281 | Frank Anton Melichar | Radiology | 1543 Crestview Ave, Tallahassee, FL 32303-5815 | 2014-06-17 |
| 1376953562 | Alex Barrocas Md Pa | Radiology | 9420 Park Dr, Miami Shores, FL 33138-2744 | 2014-04-28 |
| 1578905477 | Jorge J Sowers Md Pa | Radiology | 411 Sw 27th Ave Ste 200, Miami, FL 33135-2903 | 2013-07-22 |
| 1598008955 | Brevard Physician Associates, Pllc | Radiology | 520 E Strawbridge Ave, Melbourne, FL 32901-4732 | 2013-04-03 |
| 1306188073 | John Varvarikos | Radiology | 1890 Lpga Blvd Ste 110, Daytona Beach, FL 32117 | 2013-03-20 |
| 1316298193 | Msmc Interventional, LLC | Radiology | 4300 Alton Rd, De Hirsch Meyer Tower, Suite 1100, Miami Beach, FL 33140-2800 | 2012-09-20 |
| 1083932214 | Yafell Serulle | Radiology | 1613 N Harrison Parkway Bldg C Suite 200, Sunrise, FL 33160 | 2010-05-12 |
| 1780846204 | Kardelina Diaz | Radiology | 1912 Hamilton St Ste 201, Drs. Mcclow, Clark and Berk, P.a., Jacksonville, FL 32210-2078 | 2008-06-26 |
| 1992994487 | Macarthur Drake Jr. | Radiology | 6538 Collins Ave # 452, Miami Beach, FL 33141-4694 | 2007-10-19 |
| Find all providers with the same taxonomy | ||||
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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.