EAST DELRAY MEDICAL P A (NPI# 1306049457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306049457 |
| Entity Type | Organization |
| Organization Name | EAST DELRAY MEDICAL P A |
| Practice Address |
16 Lake Eden Dr Boynton Beach FL 33435-8667 |
| Practice Telephone | 5613026560 |
| Mailing Telephone | 5613026560 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | MICHELLE DEITSCH (OFFICE MANAGER) |
| Authorized Official Telephone | 5613026560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME74637 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PROVIDER NUMBER | 44314 | 01 |
| Street Address |
16 LAKE EDEN DR |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-8667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356884316 | Eric Weinberg | Specialist | 9792 Sun Pointe Dr, Boynton Beach, FL 33437-3332 | 2016-11-23 |
| 1073862439 | Orthopedic Solutions of S. Florida Inc | Specialist | 562 E Woolbright Rd, Boynton Beach, FL 33435-6033 | 2012-08-31 |
| 1013271311 | Sheryl Lewis | Specialist | 808 Sw 5th Ct, Boynton Beach, FL 33426-4722 | 2012-07-02 |
| 1568731701 | Obgyn Healthcare for Women | Specialist | 2828 S Seacrest Blvd Ste 201, Boynton Beach, FL 33435-7944 | 2011-12-16 |
| 1952632861 | Maxine Karas | Specialist | 36 Stratford Ln W, Apt. D, Boynton Beach, FL 33436-6330 | 2010-01-18 |
| 1104010875 | Miguel A Lopez-viego Md Pa | Specialist | 2800 South Seacrest Boulevard, Suite 200, Boynton Beach, FL 33435 | 2007-09-05 |
| 1467644393 | Murphys Occupational Therapy Services Inc | Specialist | 2301 S Congress Ave Apt 123, Boynton Beach, FL 33426-7465 | 2007-08-14 |
| 1891998993 | Elizabeth Anna Magee | Specialist | 12658 Majestic Isles Dr, Boynton Beach, FL 33437-4156 | 2007-06-06 |
| 1376757393 | Robert Anthony Henry | Specialist | 9115 Cavatina Pl, Boynton Beach, FL 33437-5132 | 2007-05-09 |
| 1417179524 | Styperek-grohmann Md Pa | Specialist | 2314 S Seacrest Blvd, Suite 201, Boynton Beach, FL 33435-6788 | 2007-05-02 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33435 |
Please comment or provide details below to improve the information on EAST DELRAY MEDICAL P A.
| 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.