INTRACOASTAL CARDIAC SERVICES GEN PTRS (NPI# 1477569291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477569291 |
| Entity Type | Organization |
| Organization Name | INTRACOASTAL CARDIAC SERVICES GEN PTRS |
| Practice Address |
900 Nw 17th Ave Delray Beach FL 33445-2519 |
| Mailing Address |
1700 Nw 66th Ave Suite 117 Plantation FL 33313-4582 |
| Practice Telephone | 5617361200 |
| Practice Fax Number | 5617421919 |
| Mailing Telephone | 9547261808 |
| Mailing Fax Number | 9547261820 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | MICHAEL J ANESTA (PRESIDENT) |
| Authorized Official Telephone | 5617361200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 062451900 | 05 | |
| FL | BCBS | 72193 | 01 |
| FL | RAILROAD MEDICARE | CI9848 | 01 |
| Street Address |
900 NW 17TH AVE |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568441764 | Angelo V. Pace | Internal Medicine | 900 Nw 17th Ave, Delray Beach, FL 33445-2519 | 2006-01-16 |
| 1982063442 | Christopher Kye Md, Pa | Psychiatry & Neurology | 900 Nw 17th Ave, Suite 201, Delray Beach, FL 33445 | 2016-02-12 |
| 1760543748 | Barbara Ann Sutton | Nurse Practitioner | 900 Nw 17th Ave, Intracoastal Cardiology Center, Delray Beach, FL 33445-2519 | 2006-12-13 |
| 1255413993 | Anesta & Silver Mds | Internal Medicine | 900 Nw 17th Ave, Delray Beach, FL 33445-2519 | 2006-10-20 |
| 1639158850 | Michael J Anesta | Internal Medicine | 900 Nw 17th Ave, Delray Beach, FL 33445-2519 | 2006-01-16 |
| 1174502397 | Mitchell D Silver | Internal Medicine | 900 Nw 17th Ave, Delray Beach, FL 33445-2519 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497900831 | Jose Luis Torres | Internal Medicine | 6238 Atlantic Ave, Delray Beach, FL 33484-3501 | 2008-11-26 |
| 1235253899 | Michael Lawrence Metzger | Internal Medicine | 13550 Jog Rd 204, Delray Beach, FL 33446-3809 | 2007-03-19 |
| 1760582837 | Steven Hornreich | Internal Medicine | 15340 Jog Road, Suite 205, Delray Beach, FL 33446 | 2006-09-25 |
| 1447352471 | Alexander Michael Chaplik | Internal Medicine | 6238 West Atlantic Avenue, Delray Beach, FL 33484 | 2006-09-01 |
| 1487760732 | Martin Glenn Bloom | Internal Medicine | 3100 S Federal Hwy, Suite J, Delray Beach, FL 33483-3222 | 2006-08-21 |
| 1558373092 | Robert Vito Carida Sr. | Internal Medicine | 5258 Linton Blvd Ste 104, Delray Beach, FL 33484 | 2006-08-13 |
| 1003849787 | South Florida Heart Institute Pa | Internal Medicine | 5035 Via Delray, Delray Beach, FL 33484-1315 | 2006-07-08 |
| 1720044290 | Ronald Larry Blankstein | Internal Medicine | 15340 Jog Rd, #101, Delray Beach, FL 33446-2170 | 2006-04-25 |
| 1568441764 | Angelo V. Pace | Internal Medicine | 900 Nw 17th Ave, Delray Beach, FL 33445-2519 | 2006-01-16 |
| 1598759979 | Bruce Richard Martin | Internal Medicine | 5210 Linton Blvd Ste 303, Delray Beach, FL 33484-6537 | 2005-08-31 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on INTRACOASTAL CARDIAC SERVICES GEN PTRS.
| 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.