DAVID PORUDOMINSKY MD (NPI# 1538347612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538347612 |
| Entity Type | Organization |
| Organization Name | DAVID PORUDOMINSKY MD |
| Practice Address |
2825 N State Road 7 Suite 300 Margate FL 33063-5737 |
| Practice Telephone | 7866213897 |
| Practice Fax Number | 7869752643 |
| Mailing Telephone | 7866213897 |
| Mailing Fax Number | 7869752643 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | DAVID PORUDOMINSKY (MD) |
| Authorized Official Telephone | 7866213897 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 34983 | 01 |
| Street Address |
2825 N STATE ROAD 7 SUITE 300 |
| City | MARGATE |
| State | FL |
| Zip Code | 33063-5737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757942 | Arthur A Shachner | Internal Medicine | 2825 N State Road 7, Suite 204, Margate, FL 33063-5737 | 2005-08-15 |
| 1932581865 | Peter H. Gach, Md, Pa | Internal Medicine | 2825 N State Road 7, #202, Margate, FL 33063-5737 | 2015-06-27 |
| 1679843494 | Yuri Salas Espinosa | Internal Medicine | 2825 N State Road 7, Ste 204, Margate, FL 33063-5737 | 2012-01-10 |
| 1548541998 | Center for Natural Healing and Regenerative Medicine, Inc. | Preventive Medicine | 2825 N State Road 7, 203, Margate, FL 33063-5737 | 2011-08-30 |
| 1194027409 | Neil Schultz, Md Pa | Internal Medicine | 2825 N State Road 7, Suite 200, Margate, FL 33063-5737 | 2010-11-19 |
| 1306146501 | Innovative Rehab Solutions Inc. | Prosthetic/Orthotic Supplier | 2825 N State Road 7, Suite 203, Margate, FL 33063-5737 | 2010-10-22 |
| 1407168099 | Lal Bhagchandani M D P A | Internal Medicine | 2825 N State Road 7, Ste 201, Margate, FL 33063-5737 | 2010-07-12 |
| 1720227523 | Kejaro Md, Pllc | Internal Medicine | 2825 N State Road 7, Suite 201, Margate, FL 33063-5737 | 2009-02-18 |
| 1356506877 | Physicians Clinical Research Alliance, LLC. | Specialist/Technologist, Other | 2825 N State Road 7, Suite 204, Margate, FL 33063-5737 | 2008-07-24 |
| 1497924575 | Joseph C.a. Hadeed, Md, Pa | Internal Medicine | 2825 N State Road 7, Suite 204, Margate, FL 33063-5737 | 2008-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978734 | Ashley Bayliss | Counselor | Legacy Healing Center Margate, 2960 N State Road 7 Ste 102, Margate, FL 33063 | 2020-09-30 |
| 1366051872 | Tasheen Fletcher | Social Worker | 4716 West Atlantic Blvd, Coconut Creek, FL 33063 | 2020-07-30 |
| 1437768116 | Care for You Medical Center, LLC | Clinic/Center | 5412 West Atlantic Blvd, Margate, FL 33063 | 2020-07-28 |
| 1073130621 | Freedom of Speech Therapy Center | Clinic/Center | 6344 Duval Drive, Margate, FL 33063 | 2020-06-30 |
| 1326683558 | Timekia Miller | Nurse Practitioner | 6343 Harbor Bnd, Margate, FL 33063 | 2019-11-12 |
| 1487138236 | Kavine Annita Taylor-dyke | Nurse Practitioner | 272 Nw 80th Terrace, Margate, FL 33063 | 2018-09-18 |
| 1750890513 | Breath of Life Medical Center Inc | Internal Medicine | 5090 Coconut Creek Pkwy, Margate, FL 33063 | 2017-09-25 |
| 1881116796 | Stephanie Lola Backer | Nurse Practitioner | 5825 Toscana Place, Apt 206, Margate, FL 33063 | 2017-07-12 |
| 1346761384 | Kayan Oconnor Robinson | Technician, Other | 300 Lakewood Circle, Unit C, Margate, FL 33063 | 2017-06-29 |
| 1245610138 | Shailee B Patel | Dermatology | 3275 N. State Road 7, Margate, FL 33063 | 2015-06-04 |
| Find all providers in zip 33063 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497120737 | Prime Medical Billing | Specialist | 4744 W Atlantic Blvd Apt 208, Margate, FL 33063-6732 | 2015-12-12 |
| 1376954214 | Jose M Leon Md | Specialist | 5640 W. Atlantic Blvd, Margate, FLORIDA 33063 | 2014-05-14 |
| 1477888428 | Good Hand Physical Therapy | Specialist | 1646 W River Dr, Margate, FL 33063-2729 | 2009-10-08 |
| 1013110790 | Margate Pediatrics Pa | Specialist | 5100 West Copans Road, Suite 800, Margate, FL 33063 | 2007-06-08 |
| 1336351915 | Family Medicine of Margate Pa | Specialist | 6000 West Atlantic Blvd, Margate, FL 33063 | 2007-05-04 |
| 1922125509 | Thalia Tsavaris | Specialist | 7561 Belmonte Blvd, Margate, FL 33063-7896 | 2007-03-26 |
| 1851365977 | Jose Leon | Specialist | 5640 W Atlantic Blvd, Margate, FL 33063-4523 | 2006-02-15 |
| 1013980861 | Roger Mansfield Dawkins | Specialist | 7454 Royal Palm Blvd, Margate, FL 33063-6881 | 2006-02-10 |
| 1053705921 | Meli Orthopedic Centers of Excellence,llc. | Specialist | 2964 N State Road 7, Suite 205, Margate, FL 33063 | 2015-03-27 |
| 1447593959 | Jose M Leon Md Pa | Specialist | 5640 W Atlantic Blvd, Margate, FL 33063-4523 | 2013-04-03 |
| Find all providers in MARGATE | ||||
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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.