PGL MEDICAL GROUP, PA (NPI# 1518220565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518220565 |
| Entity Type | Organization |
| Organization Name | PGL MEDICAL GROUP, PA |
| Practice Address |
108 Intracoastal Pointe Dr Suite 100 Jupiter FL 33477-5036 |
| Practice Telephone | 5615753050 |
| Practice Fax Number | 5615753153 |
| Mailing Telephone | 5615753050 |
| Mailing Fax Number | 5615753153 |
| Enumeration Date | 2012-06-24 |
| Last Update Date | 2012-06-24 |
| Authorized Official Name | DR. GLENDESE C MILLER (VICE PRESIDENT) |
| Authorized Official Telephone | 5617977653 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME104698 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
108 INTRACOASTAL POINTE DR SUITE 100 |
| City | JUPITER |
| State | FL |
| Zip Code | 33477-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659337814 | Cheri L Hertel | Acupuncturist | 108 Intracoastal Pointe Dr, Suite 200, Jupiter, FL 33477-5036 | 2006-04-25 |
| 1316304983 | Blue Eyed Ocean Pllc | Clinic/Center | 108 Intracoastal Pointe Dr, Suite 100, Jupiter, FL 33477-5036 | 2016-01-26 |
| 1033507330 | Jplrc | Orthopaedic Surgery | 108 Intracoastal Pointe Dr, Jupiter, FL 33477-5036 | 2015-01-08 |
| 1922355015 | Jason Moniz | Physician Assistant | 108 Intracoastal Pointe Dr, Suite 300, Jupiter, FL 33477-5036 | 2012-08-08 |
| 1114187093 | Linda M Berko | Social Worker | 108 Intracoastal Pointe Dr, Suite 200, Jupiter, FL 33477-5036 | 2008-06-13 |
| 1144307786 | Predrag Knez | Internal Medicine | 108 Intracoastal Pointe Dr, Suite 100, Jupiter, FL 33477-5036 | 2006-11-01 |
| 1013026889 | Palm Beach Heart Clinic Pa | Internal Medicine | 108 Intracoastal Pointe Dr, Suite 100, Jupiter, FL 33477-5036 | 2006-08-29 |
| 1770591638 | Tatiana Knez | Internal Medicine | 108 Intracoastal Pointe Dr, Suite 100, Jupiter, FL 33477-5036 | 2006-08-04 |
| 1265467716 | Zbigniew Jacob Litwinczuk | Internal Medicine | 108 Intracoastal Pointe Dr, Ste 200, Jupiter, FL 33477-5036 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576513 | Sanctuary Healthcare LLC | Home Health | 100 Front Street, Suite 300, Jupiter, FL 33477 | 2020-04-09 |
| 1538503669 | Aimee Bunyea | Pharmacist | 1118 11th Court, Jupiter, FL 33477 | 2013-04-19 |
| 1447592571 | Blue Water Doctors of Jupiter, LLC | Family Medicine | 2151 South Alternate A1a, Unit 650, Jupiter, FL 33477 | 2013-03-27 |
| 1477806115 | Brad D. Simons, Md,phd, Pa | Ophthalmology | 2141 Alternate A1a S, Suite 210, Jupiter, FL 33477 | 2012-10-18 |
| 1952688392 | Matthew J Harris | Orthopaedic Surgery | 108 Intracoastal Pointe Drive, Suite 300, Jupiter, FL 33477 | 2011-11-14 |
| 1366720682 | Physical Therapy Institute and Aquatic Rehab, Inc. | Physical Therapist | 17380 N Highway A1a Alternate, Suite 305, Jupiter, FL 33477 | 2011-08-03 |
| 1770714578 | Payal P Chokshi | Dentist | 759 Parkway Street, Suite# 103, Jupiter, FL 33477 | 2009-07-29 |
| 1205089174 | Priscilla J Zuckerberg | Speech-Language Pathologist | 110 Front St Ste 300, Jupiter, FL 33477 | 2008-10-23 |
| 1083866727 | Deanna Talmud | Social Worker | 2044 Staysail Lane, Jupiter, FL 33477 | 2008-10-14 |
| 1417123290 | Gayle Gerardi Pulice | Massage Therapist | 927 North A1a, Suite A105, Jupiter, FL 33477 | 2008-05-01 |
| Find all providers in zip 33477 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1629686613 | Coastal Family Practice and Internal Medicine | Internal Medicine | 1004 S Old Dixie Hwy Ste 201, Jupiter, FL 33458-7200 | 2020-07-16 |
| 1962031922 | Florida Hospital Specialist, LLC | Internal Medicine | 340 S Us Highway 1 Apt 301, Jupiter, FL 33477-5929 | 2020-04-02 |
| 1801389028 | Jupiter Health and Wellness, LLC | Internal Medicine | 4600 Military Trl Ste 110, Jupiter, FL 33458-4811 | 2018-06-12 |
| 1104270149 | Healthy Partners Primary Care LLC | Internal Medicine | 1090 Jupiter Park Dr Ste 101, Jupiter, FL 33458-8939 | 2016-04-15 |
| 1801139225 | Diana Elena Amariei | Internal Medicine | 500 University Blvd Ste 211, Jupiter, FL 33458-2775 | 2013-04-03 |
| 1891023362 | Donna Kay Benya | Internal Medicine | 18941 Se Castle Rd, Jupiter, FL 33458-1048 | 2009-11-21 |
| 1023247111 | Ahmet Bahadir Ergin | Internal Medicine | 550 Heritage Dr Ste 202, Jupiter, FL 33458-3030 | 2009-07-09 |
| 1831361856 | Kevin Inwood Mdpa | Internal Medicine | 2141 Alt A1a South, Ste 130, Jupiter, FL 33477-4063 | 2008-03-31 |
| 1861687824 | Alexandra Berger | Internal Medicine | 278 Sussex Cir, Jupiter, FL 33458-8118 | 2007-09-12 |
| 1619169810 | Medical Consultants of Florida LLC | Internal Medicine | 3889 Military Trl Ste 101, Jupiter, FL 33458-2923 | 2007-08-13 |
| Find all providers in JUPITER | ||||
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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.