PALM BEACH CANCER INSTITUTE LLC (NPI# 1639114408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639114408 |
| Entity Type | Organization |
| Organization Name | PALM BEACH CANCER INSTITUTE LLC |
| Practice Address |
1309 N Flagler Dr West Palm Beach FL 33401-3406 |
| Mailing Address |
Po Box 863310 Orlando FL 32886-3310 |
| Practice Telephone | 5613664100 |
| Practice Fax Number | 5613664189 |
| Mailing Telephone | 5613664100 |
| Mailing Fax Number | 5613664189 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2010-01-21 |
| Authorized Official Name | LISA SAN ROMAN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5613664104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 267990601 | 05 | |
| FL | 267990602 | 05 | |
| FL | 267990604 | 05 | |
| FL | 267990603 | 05 | |
| FL | 267990600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275702367 | Palm Beach Cancer Institute LLC | Radiology | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2008-02-22 |
| Street Address |
1309 N FLAGLER DR |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33401-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447880 | David Joseph Ahr | Internal Medicine | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2005-06-21 |
| 1851990022 | Amy Lynn Berry | Nurse Practitioner | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2020-10-20 |
| 1447887765 | Cheryl Maria Jackowski | Registered Nurse | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2020-03-25 |
| 1265078711 | Carlos Lacayo | Nurse Practitioner | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2019-11-20 |
| 1750946679 | Polina Rigby | Nurse Anesthetist, Certified Registered | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2019-05-06 |
| 1093378143 | Josie Arias Mirabal | Nurse Practitioner | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2019-04-15 |
| 1457822645 | Rodolfo Rafael Viton | Nurse Practitioner | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2018-12-16 |
| 1942796941 | Carlos Alberto Hartmann | Specialist/Technologist, Other | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2018-07-03 |
| 1801386669 | Robert Michael Steinbrink | Nurse Anesthetist, Certified Registered | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2018-05-16 |
| 1184112765 | Rhonda Coney | Nurse Practitioner | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2018-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371882 | Curt David Miller | Nurse Practitioner | 5300 East Avenue West Palm Beach Fl, West Palm Beach, FL 33401 | 2020-09-22 |
| 1699338152 | Carly N Lupo | Social Worker | 700 S Rosemary Ave, Suite 204 Ofc 101, West Palm Beach, FL 33401 | 2019-04-19 |
| 1740752625 | Latasha Harper | Specialist | 512 N St, West Palm Beach, FL 33401 | 2018-12-17 |
| 1124595640 | Elin Nordegren | Counselor | 1555 Palm Beach Lakes Blvd Suite 1560, West Palm Beach, FL 33401 | 2018-11-02 |
| 1205318664 | Phanette Turene | Behavior Technician | 1720 N Congress Ave Apt B207, West Palm Beach, FL 33401 | 2018-09-02 |
| 1790277002 | Ashley Zarda | Developmental Therapist | 253 8th St, West Palm Beach, FL 33401 | 2018-06-01 |
| 1487162988 | Pinnacle Counseling Service Pllc | Social Worker | 1900 S Olive Avenue, West Palm Beach, FL 33401 | 2018-01-18 |
| 1245754027 | Patricia Caroscio | Dental Hygienist | 800 Clematis Street, West Palm Beach, FL 33401 | 2017-08-02 |
| 1255852562 | Dermnow Pa | Dermatology | 1500 N Flasler Dr #, 101, West Palm Beach, FL 33401 | 2017-06-28 |
| 1699204289 | Edward Gerardo Ortiz | Counselor | 1639 Forum Place Suite #7, West Palm Beach, West Palm Beach, FL 33401 | 2017-06-07 |
| Find all providers in zip 33401 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447880 | David Joseph Ahr | Internal Medicine | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2005-06-21 |
| 1992930309 | Napoleon Santos | Internal Medicine | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2009-05-29 |
| 1922276161 | Lawrence A Tepper and Allen F Schultz Dopa | Internal Medicine | 4700 N Congress Ave, Suite 304b, West Palm Beach, FL 33407-3282 | 2008-02-11 |
| 1528033958 | Lawrence A Tepper | Internal Medicine | 4700 N Congress Ave, Suite 304b, West Palm Beach, FL 33407-3282 | 2006-02-21 |
| 1225034309 | Avram Jonathan Smukler | Internal Medicine | 1309 N Flagler Dr, Florida Cancer Specialists Pl, West Palm Beach, FL 33401-3406 | 2005-06-23 |
| 1396741377 | Robert Jeffrey Green | Internal Medicine | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2005-06-23 |
| 1568468544 | Neal Evan Rothschild | Internal Medicine | 1309 N Flagler Dr, West Palm Beach, FL 33401-3406 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
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| City | WEST PALM BEACH |
| Zip Code | 33401 |
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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.