DR. JOANNE DOMINIQUE MANFREDI (NPI# 1235344284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235344284 |
| Entity Type | Individual |
| Full Name | DR. JOANNE DOMINIQUE MANFREDI |
| Credential | M.D. |
| Practice Address |
5642 Corporate Way West Palm Beach FL 33407 |
| Mailing Address |
160 Se 6th Ave B-2 Delray Beach FL 33483-5264 |
| Practice Telephone | 5614045924 |
| Mailing Telephone | 5612702616 |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2015-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | ME97529 | FL | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 219110 | NY | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
ME97529 | FL | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
219110 | NY | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
ME97529 | FL | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
219110 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
5642 CORPORATE WAY |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013383835 | 45th St Pain Management LLC | Pain Medicine | 5642 Corporate Way, West Palm Beach, FL 33407-2002 | 2015-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252924 | Tenet Florida Physician Services II, LLC | Durable Medical Equipment & Medical Supplies | 5352 Greenwood Ave, Ste 103, West Palm Beach, FL 33407 | 2020-07-09 |
| 1083248520 | Robin Erickson, Ph.d., Inc. | Clinic/Center | 2151 45th St.# 200, West Palm Beach, FL 33407 | 2020-02-24 |
| 1487203428 | Donmar Health Services, LLC | Home Health | 801 Northpoint Pkwy Ste 59, West Palm Beach, FL 33407 | 2019-09-11 |
| 1962064071 | Sofia Thomas | Nurse Practitioner | 927 45th St Ste 102, Mangonia Park, FL 33407 | 2019-06-28 |
| 1093294803 | Physical Therapy Now of Mangonia Park | Clinic/Center | 1748 45th St, West Palm Beach, FL 33407 | 2018-08-13 |
| 1437635943 | Shanna Bhagan | Physician Assistant | 4500 N Flagler Dr Apt B16, West Palm Beach, FL 33407 | 2018-07-17 |
| 1942786637 | Frantz Lamour | Counselor | 1233 45th Suite Suite A 7-8, West Palm Beach, FL 33407 | 2018-07-16 |
| 1013404706 | Florida Medical Professionals LLC | Hospitalist | St. Mary's Medical Center 901 45th Street, West Palm Beach, FL 33407 | 2018-04-18 |
| 1265929012 | Fantastic Wound Care LLC | Registered Nurse | 2580 Metrocentre Boulevard, Suite 5, West Palm Beach, FL 33407 | 2018-04-17 |
| 1225530140 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5851 Corporate Way, West Palm Beach, FL 33407 | 2018-03-07 |
| Find all providers in zip 33407 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982671152 | Claude Oster | Physical Medicine & Rehabilitation | 5305 Greenwood Ave, Ste. 202, West Palm Beach, FL 33407 | 2006-03-07 |
| 1891700522 | Marc Slonimski | Physical Medicine & Rehabilitation | 2051 45th St, Suite108, West Palm Beach, FL 33407-2027 | 2006-07-30 |
| 1720025828 | Charles Eugene Williamson | Physical Medicine & Rehabilitation | 2326 S Congress Ave, Suite 2e, West Palm Beach, FL 33406-7617 | 2006-05-31 |
| 1447207113 | Mohan S Gulati | Physical Medicine & Rehabilitation | 5305 Greenwood Ave, Suite 203, West Palm Beach, FL 33407-2449 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161214 | Radius Medical Center LLC | Physical Medicine & Rehabilitation | 2425 E Commercial Blvd Ste 203, Fort Lauderdale, FL 33308-4062 | 2020-07-17 |
| 1912460874 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 5701 21st Ave W Ste 3, Bradenton, FL 34209-5605 | 2019-04-08 |
| 1508320342 | Grigory Pogrebinsky Md Pa | Physical Medicine & Rehabilitation | 12450 Tamiami Trl S Unit E, North Port, FL 34287-1473 | 2019-01-25 |
| 1235611815 | Peter Danger Molina | Physical Medicine & Rehabilitation | 1190 Nw 95th St Ste 200, Miami, FL 33150-2064 | 2018-08-30 |
| 1497246540 | Restore Medical Partners Pllc | Physical Medicine & Rehabilitation | 333 Tamiami Trl S Ste 101, Venice, FL 34285-2425 | 2018-05-24 |
| 1568952240 | South Florida Physical Medicine and Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 1200 S Main St Ste 200, Belle Glade, FL 33430-7808 | 2018-05-17 |
| 1235641655 | Boca Pain Care, Inc | Physical Medicine & Rehabilitation | 851 Meadows Rd Ste 213, Boca Raton, FL 33486-2348 | 2017-10-25 |
| 1558870477 | Pain Control Solutions II LLC | Physical Medicine & Rehabilitation | 8323 Nw 12th Street, Suite 115, Miami, FL 33126 | 2017-09-22 |
| 1245759851 | Chelsea Hakeem | Physical Medicine & Rehabilitation | 8936 77th Terrace East, Suit 101, Lakewood Ranch, FL 34202 | 2017-09-14 |
| 1508384165 | Destiny Therapy Center Inc | Physical Medicine & Rehabilitation | 7480 Fairway Dr., Suite 101, Miami Lakes, FL 33014 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST PALM BEACH |
| Zip Code | 33407 |
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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.