MR. THEODORE ANASTASIOS PANTARIDIS (NPI# 1376783548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376783548 |
| Entity Type | Individual |
| Full Name | MR. THEODORE ANASTASIOS PANTARIDIS |
| Credential | PA-C |
| Practice Address |
525 Ne 3rd Ave Suite 104 Delray Beach FL 33444-3800 |
| Mailing Address |
11373 Misty Ridge Way Boynton Beach FL 33473-4896 |
| Practice Telephone | 5612437612 |
| Practice Fax Number | 5612437614 |
| Mailing Telephone | 9542924819 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2013-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9103667 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
525 NE 3RD AVE SUITE 104 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33444-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930508 | Raymond H. Cralle | Physical Therapist | 525 Ne 3rd Ave, Ste 106, Delray Beach, FL 33444-3800 | 2005-05-31 |
| 1629314893 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 525 Ne 3rd Ave, Delray Beach, FL 33444-3800 | 2012-12-17 |
| 1962748137 | American Current Care Pa | Clinic/Center | 525 Ne 3rd Ave, Delray Beach, FL 33444-3800 | 2012-12-17 |
| 1598030132 | American Balance Testing Inc | Internal Medicine | 525 Ne 3rd Ave, 107, Delray Beach, FL 33444-3800 | 2012-03-15 |
| 1215158530 | Cralle Physical Therapy Services, Pa | Physical Therapist | 525 Ne 3rd Ave, Suite 106, Delray Beach, FL 33444-3800 | 2007-05-02 |
| 1609809011 | Gregory Lawrence Deitsch | Internal Medicine | 525 Ne 3rd Ave, Suite 104, Delray Beach, FL 33444-3800 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942193 | Jeanette Zaneta Denker | Psychologist | 202 N Swinton Avenue, Delray Beach, FL 33444 | 2020-01-28 |
| 1861048290 | Marcus Grey | General Practice | 109 North Swinton Avenue, Delray Beach, FL 33444 | 2019-08-12 |
| 1700367471 | Gracenia Jerome | Physical Therapy Assistant | 821 Sw 3rd Ct, Delray Beach, FL 33444 | 2018-08-22 |
| 1629565650 | Palm Partners, LLC | Substance Abuse Rehabilitation Facility | 707 Linton Blvd., Building D, Delray Beach, FL 33444 | 2018-04-16 |
| 1710474705 | Palm Partners, LLC | Substance Abuse Rehabilitation Facility | 709 Linton Blvd., Building D, Delray Beach, FL 33444 | 2018-04-16 |
| 1942729173 | Jacqueline Channell | Nurse Practitioner | 111 Stone Harbor Way F1, Delray Beach, FL 33444 | 2017-09-19 |
| 1720508708 | Brunia Beaubrun | Clinic/Center | 725 Village Square Cir., Unit 318, Delray Beach, FL 33444 | 2017-06-21 |
| 1023472719 | Turning Point Sober Home | Case Management | 634 Bunting Dr, Delray, FL 33444 | 2016-04-08 |
| 1568829299 | Derek Moore | Chiropractor | 401 W Atlantic Ave Unit 14, Delray Beach, FL 33444 | 2016-01-26 |
| 1114316056 | Michael Mayhall | Counselor | 213 Northwest 15th Avenue, Delray Beach, FL 33444 | 2015-01-15 |
| Find all providers in zip 33444 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124543830 | Melinda Susan Mastrapa | Physician Assistant | 5130 Linton Blvd Ste F1, Delray Beach, FL 33484-6595 | 2017-08-03 |
| 1790175800 | Abigail Lee Cichon | Physician Assistant | 601 N Congress Ave Ste 402, Delray Beach, FL 33445-4639 | 2015-01-27 |
| 1053716332 | Donna Leonardo | Physician Assistant | 13660 Jog Rd Ste 5b, Delray Beach, FL 33446-3806 | 2014-10-28 |
| 1710249545 | Tashan A Jones | Physician Assistant | 525 Ne 3rd Ave Ste 104, Delray Beach, FL 33444-3800 | 2012-06-07 |
| 1518009497 | Svetlana Reyblat | Physician Assistant | 5258 Linton Blvd Ste 306, Delray Beach, FL 33484-6530 | 2007-02-13 |
| 1619948775 | Tammy D Gaines | Physician Assistant | 4675 Linton Blvd Ste 200, Delray Beach, FL 33445-6615 | 2006-01-27 |
| 1578006060 | Luisa Maria Indiviglio | Physician Assistant | 5130 Linton Blvd, Suite H1, Delray Beach, FL 33484-6596 | 2016-12-01 |
| 1902263577 | Alexandra Williams | Physician Assistant | 601 N Congress Ave, Suite 402, Delray Beach, FL 33445-4703 | 2016-01-27 |
| 1235528951 | Michael Arno | Physician Assistant | 16244 S Military Trl, Suite 560, Delray Beach, FL 33484-6534 | 2015-01-19 |
| 1700125390 | Brittany Evernden | Physician Assistant | 14428 S Military Trl, Delray Beach, FL 33484-3720 | 2013-02-03 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33444 |
Please comment or provide details below to improve the information on MR. THEODORE ANASTASIOS PANTARIDIS.
| 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.