PAUL C MAKHLOUF (NPI# 1457553398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457553398 |
| Entity Type | Individual |
| Full Name | PAUL C MAKHLOUF |
| Credential | MD |
| Practice Address |
3680 Broadway Fort Myers FL 33901-8005 |
| Practice Telephone | 2399362316 |
| Practice Fax Number | 2399316365 |
| Mailing Telephone | 2399362316 |
| Mailing Fax Number | 2399316365 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2008-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
ME98397 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS OF FL | 02631 | 01 |
| FL | 279965100 | 05 | |
| FL | MEDICAL LICENSE | ME98397 | 01 |
| Street Address |
3680 BROADWAY |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33901-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952393464 | Michael R Theobald | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2005-08-19 |
| 1619310752 | Kevin Kadakia | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2013-04-08 |
| 1760774327 | Danielle Matta | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2011-05-13 |
| 1760718845 | Maximo Jose Santiago | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2009-10-26 |
| 1194994509 | Richard Dominick Pagliara Jr. | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2008-02-29 |
| 1447458971 | Darius Biskup | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2007-07-05 |
| 1922202704 | Robert Perez | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2007-06-13 |
| 1871707265 | Cyrus Anderson | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2007-05-09 |
| 1720091937 | William N. Wiley | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2006-08-15 |
| 1881608966 | Theresa Dawn Hilley Vensel | Radiology | 3680 Broadway, Fort Myers, FL 33901-8005 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536972 | Daniel Wolfe | Speech-Language Pathologist | 3375 Evans Avenue, Fort Myers, FL 33901 | 2020-01-06 |
| 1841764065 | Medicab Transportation, LLC | Ambulance | 3049 Cleveland Avenue, Suite 275, Fort Myers, FL 33901 | 2019-01-22 |
| 1760963649 | Jamies Home Care Services LLC | Home Health | 1944 Suwanee Ave, Fort Myers, FL 33901 | 2018-08-28 |
| 1942673900 | Adriana Ramnarine | Dietitian, Registered | 2727 Winkler Ave., Fort Myers, FL 33901 | 2015-11-12 |
| 1215327093 | Carecommunity Inc. | Foster Care Agency | 4066 Evans Ave Ste 4, Fort Myers, FL 33901 | 2015-01-30 |
| 1013327832 | Neck Pain Back Pain and Headache Relief Center of Ft. Myers, LLC | Chiropractor | 4144 Cleveland Ave, Suite 2, Ft. Myers, FL 33901 | 2014-05-01 |
| 1588087076 | Larry Philip Garrett | Family Medicine | 3543 Stuart Ct, Fort Myers, FL 33901 | 2014-02-04 |
| 1144657479 | Janet M Michael | Registered Nurse | 3763 Evans Ave., Fort Myers, FL 33901 | 2013-10-01 |
| 1366879785 | Gina Lee Guerrero | Licensed Practical Nurse | 3736 Evans Ave, Fort Myers, FL 33901 | 2013-09-30 |
| 1396186649 | Ronald Edward Trapp | Dentist | 2470 Edison Ave, Project Dentists Care of Sw Florida, Fort Myers, FL 33901 | 2013-07-16 |
| Find all providers in zip 33901 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| 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 |
|---|---|---|---|---|
| 1518907823 | Florida Radiology Leasing LLC | Radiology | 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907-4514 | 2006-06-07 |
| 1518911668 | Florida Radiology Consultants Pa | Radiology | 2776 Cleveland Ave, Dept. of Radiology, Fort Myers, FL 33901-5864 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427383942 | Alfred Joseph Ferris Jr. | Radiology | 11736 Lipsey Rd, Tampa, FL 33618-3620 | 2009-10-16 |
| 1588809594 | Charles Joseph Farrow | Radiology | 47 N River Rd, Stuart, FL 34996-6635 | 2008-12-04 |
| 1790874717 | Alex Favelukes | Radiology | 942 Saxon Blvd Ste 1a, Orange City, FL 32763-8358 | 2006-10-11 |
| 1578658258 | Jerry Stolzenberg | Radiology | 10691 Hawks Vista St, Plantation, FL 33324-8211 | 2006-10-04 |
| 1760583561 | Aristides Felipe Fernandez-abril | Radiology | 6312 Leonardo St, Coral Gables, FL 33146-3352 | 2006-09-26 |
| 1619909686 | Eiber Radiology Inc | Radiology | 5210 Belfort Rd, Suite 130, Jacksonville, FL 32256-6024 | 2006-07-07 |
| 1487684239 | Blake M Berman | Radiology | 816 Floret Dr, Palm Beach Gardens, FL 33410-1607 | 2006-07-04 |
| 1942244439 | Vivek Gupta | Radiology | 2109 60th St W, Bradenton, FL 34209-5526 | 2006-06-15 |
| 1992787576 | Mercy Medical Development Inc | Radiology | 3641 S Miami Ave, Miami, FL 33133-4205 | 2005-11-18 |
| 1316938699 | Clinton C. Pittman | Radiology | 2815 W Virginia Ave, Ste A, Tampa, FL 33607-6357 | 2005-11-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33901 |
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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.