GINCY LIZ KANDANKULAM (NPI# 1477883965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477883965 |
| Entity Type | Individual |
| Full Name | GINCY LIZ KANDANKULAM |
| Credential | M.D. |
| Practice Address |
8200 S Jog Rd Suite 102 Boynton Beach FL 33472-2981 |
| Practice Telephone | 5617844930 |
| Practice Fax Number | 5617844931 |
| Mailing Telephone | 5617844930 |
| Mailing Fax Number | 5617844931 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2016-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35094608 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
8200 S JOG RD SUITE 102 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33472-2981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629080023 | Edyta Krzak-mularczyk | Internal Medicine | 8200 S Jog Rd, Ste 102, Boynton Beach, FL 33472-2981 | 2006-08-13 |
| 1891147765 | Jeffrey Shiffman | Dentist | 8200 S Jog Rd, Suite 201, Boynton Beach, FL 33472-2981 | 2016-07-05 |
| 1669889176 | Amanda Szymanski | Clinical Nurse Specialist | 8200 S Jog Rd, Suite 203, Boynton Beach, FL 33472-2981 | 2014-07-16 |
| 1336402379 | Lauren Padron | Physical Therapy Assistant | 8200 S Jog Rd, Suite 202, Boynton Beach, FL 33472-2981 | 2012-06-22 |
| 1134326150 | Joseph Jose | Internal Medicine | 8200 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2981 | 2007-07-02 |
| 1811000391 | Andrew L Savin | Internal Medicine | 8200 S Jog Rd, Suite 102, Boynton Beach, FL 33472-2981 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288985 | Boynton Beach Modern Dentistry, Pa | Dentist | 8773 Boynton Beach Blvd., Suite 520, Boynton Beach, FL 33472 | 2019-04-09 |
| 1205310596 | Caridad Center Inc | Voluntary or Charitable | 8645 W Boyton Beach Blvd, Boyton Beach, FL 33472 | 2018-09-21 |
| 1447769740 | Jillian Lepera | Counselor | 8200 S Jog Rd Ste 101, Boynton Beach, FL 33472 | 2017-09-29 |
| 1467988253 | Susel Maria Perez Ojeda | Dentist | 8773 Boynton Beach Blvd Unit 520, Boynton Beach, FL 33472 | 2017-05-11 |
| 1770019887 | Lyn Lewis | Developmental Therapist | 8308 Waterline Dr 105, Boyton Beach, FL 33472 | 2017-05-10 |
| 1821466715 | Advanced Cancer Surgery and Digestive Health LLC | Surgery | 9868 S. State Road 7, Suite 300, Boynton Beach, FL 33472 | 2015-09-09 |
| 1154703163 | Jeanie Moran | Physician Assistant | 9394 Cobblestone Brooke Ct, Boynton Beach, FL 33472 | 2015-06-25 |
| 1679981450 | Mandi Franklin | Nurse Practitioner | 9868 Fl-7 #305, Boynton Beach, FL 33472 | 2014-07-24 |
| 1962825943 | June Ladner, LLC | Homemaker | 8022 Bellafiore Way, Boynton Beach, FL 33472 | 2014-01-28 |
| 1710323910 | Eena Comprehensive Neurology & Sleep Center Inc | Psychiatry & Neurology | 9868 South State Road 7, Boyton Beach, FL 33472 | 2013-05-14 |
| Find all providers in zip 33472 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869237 | Guerry Cenord | Family Medicine | 7987 Clementine Dr, Boynton Beach, FL 33436-1605 | 2020-04-10 |
| 1841829512 | Christian E Sanon | Family Medicine | 1690 Renaissance Commons Blvd Apt 1301, Boynton Beach, FL 33426-7211 | 2020-04-05 |
| 1801363411 | Lisa Ann Antonczak | Family Medicine | 23 Pepperwood Ct, Boynton Beach, FL 33426-9351 | 2018-11-01 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1518481191 | Esther Thomas | Family Medicine | 115 Nw 14th Ave, Boynton Beach, FL 33435-2634 | 2017-07-26 |
| 1013430701 | Dawn M Sepulveda | Family Medicine | 10151 Enterprise Ctr Ste 106, Boynton Beach, FL 33437-3760 | 2017-07-25 |
| 1588186191 | Tyler J Provost | Family Medicine | 4600 N Ocean Blvd Ste 101, Boynton Beach, FL 33435-7365 | 2017-07-14 |
| 1609001106 | Trudell A Doctor | Family Medicine | 7730 Boynton Beach Blvd Ste 3, Boynton Beach, FL 33437-6155 | 2009-05-27 |
| 1265607501 | George Andricopoulos | Family Medicine | 2010 S Federal Hwy Apt I409, Boynton Beach, FL 33435-6912 | 2008-04-28 |
| 1497925085 | Donald Dunayer | Family Medicine | 5874 Crystal Shores Dr, Suite 107, Boynton Beach, FL 33437-5683 | 2008-03-10 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33472 |
Please comment or provide details below to improve the information on GINCY LIZ KANDANKULAM.
| 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.