DR. BHAGWANDATT RAJCOOMAR (NPI# 1104994227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104994227 |
| Entity Type | Individual |
| Full Name | DR. BHAGWANDATT RAJCOOMAR |
| Other Name | DR. BOB RAJCOOMAR |
| Credential | M.D. |
| Practice Address |
4765 S Congress Ave Ste B Lake Worth FL 33461-4700 |
| Practice Telephone | 5619655705 |
| Practice Fax Number | 5619641188 |
| Mailing Telephone | 5619655705 |
| Mailing Fax Number | 5619641188 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME35579 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4765 S CONGRESS AVE STE B |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| 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 |
|---|---|---|---|---|
| 1982218079 | Primary Total Care Corp | Family Medicine | 3015 S Congress Ave Ste 1, Lake Worth, FL 33461-2111 | 2020-09-04 |
| 1538781455 | Living Well Medical Group LLC | Family Medicine | 7136 S Military Trl Ste 10, Lake Worth, FL 33463-7812 | 2020-05-13 |
| 1851664536 | Pbnd Care Inc | Family Medicine | 4460 Carver St, Lake Worth, FL 33461-2713 | 2012-02-11 |
| 1972895456 | Ronald G Kludo Do Pa | Family Medicine | 7653 Lkake Worth, Lake Worth, FL 33467 | 2011-05-03 |
| 1215167168 | Ronald L. Bigman | Family Medicine | 7584 Lake Harbor Terrace, Lake Worth, FL 33467 | 2009-07-24 |
| 1508094988 | Jenny Aihong Liu | Family Medicine | 4073 Plumbago Pl, Lake Worth, FL 33462 | 2009-06-24 |
| 1285871665 | Johnson Medical Services Corporation | Family Medicine | 2531 N Dixie Hwy, Lake Worth, FL 33460-6250 | 2009-01-07 |
| 1417077801 | Pamela A Roach | Family Medicine | 6340 Lake Worth Blvd, #141, Lake Worth, TX 76135-3602 | 2007-03-30 |
| 1689725533 | Ronald G. Kludo | Family Medicine | 7653 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2007-01-16 |
| 1013099761 | Elizabeth Ann Gunther | Family Medicine | 3618 Lantana Rd Ste 100, Lake Worth, FL 33462-2247 | 2006-10-20 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33461 |
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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.