PAIN MANAGEMENT GROUP OF S FLORIDA INC (NPI# 1679713838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679713838 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT GROUP OF S FLORIDA INC |
| Practice Address |
6100 Hollywood Blvd Suite 409 Hollywood FL 33024-7900 |
| Practice Telephone | 9549860770 |
| Practice Fax Number | 9549878337 |
| Mailing Telephone | 9549860770 |
| Mailing Fax Number | 9549878337 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |
| Authorized Official Name | DENNIS BONNEAU (PRESIDENT) |
| Authorized Official Telephone | 9549860770 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
6100 HOLLYWOOD BLVD SUITE 409 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235219833 | Mains'l Florida, Inc. Dba Mains'l Service,inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6100 Hollywood Blvd, Hollywood, FL 33024-7900 | 2006-10-17 |
| 1578116059 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 6100 Hollywood Blvd, Suite 522, Hollywood, FL 33024-7346 | 2019-07-23 |
| 1699233726 | Woodlane Medical LLC | Durable Medical Equipment & Medical Supplies | 6100 Hollywood Blvd, Ste 510, Hollywood, FL 33024 | 2019-03-07 |
| 1295200897 | Guidewell Sanitas I, LLC | Clinic/Center | 6100 Hollywood Blvd, Hollywood, FL 33024-7900 | 2018-10-10 |
| 1427595354 | E-lab of Florida Inc. | Clinical Medical Laboratory | 6100 Hollywood Blvd, Suite 306, Hollywood, FL 33024-7982 | 2017-01-30 |
| 1437427366 | Integrative Center for Cognitive Disorders Pa | Psychologist | 6100 Hollywood Blvd, Suite 202, Hollywood, FL 33024-7900 | 2011-12-07 |
| 1811133309 | Srm Clinical Psychology P A | Clinical Neuropsychologist | 6100 Hollywood Blvd, Suite 201, Hollywood, FL 33024-7900 | 2009-01-05 |
| 1396980892 | Hugo De Ayala | Specialist | 6100 Hollywood Blvd, Suite 106, Hollywood, FL 33024-7900 | 2008-12-11 |
| 1508042185 | Uro-medix Inc | Urology | 6100 Hollywood Blvd, Suite 100, Hollywood, FL 33024-7900 | 2008-01-14 |
| 1407030216 | Sara Rosa Malagold | Psychologist | 6100 Hollywood Blvd, Suite 201, Hollywood, FL 33024-7900 | 2007-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| 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 |
|---|---|---|---|---|
| 1336752088 | Christy Nicole Johnson | Family Medicine | 634 Drew Dr, Hollywood, AL 35752-6556 | 2020-08-24 |
| 1669931762 | Premier Healthcare Centers, LLC | Family Medicine | 9950 Stirling Rd Ste 108, Hollywood, FL 33024-8001 | 2019-03-18 |
| 1689026460 | Sanrol Medical Center Inc | Family Medicine | 7160 Stirling Rd, Hollywood, FL 33024-1650 | 2016-07-06 |
| 1366896904 | South Florida Family Medical Center, LLC. | Family Medicine | 7369 Sheridan St Ste 100, Hollywood, FL 33024 | 2016-04-20 |
| 1790032530 | Kyle Petersen | Family Medicine | 3157 N University Dr Ste 101, Hollywood, FL 33024-2258 | 2012-08-10 |
| 1184989139 | Evgeny Goldman | Family Medicine | 6100 Hollywood Blvd Ste 300, Hollywood, FL 33024-7982 | 2012-07-05 |
| 1699047654 | Gg Healthcare Pa | Family Medicine | 6241 Pembroke Rd, Hollywood, FL 33023-2215 | 2012-02-06 |
| 1285932947 | Frank C Alario Md Pl | Family Medicine | 5700 Stirling Rd Ste 100, Hollywood, FL 33021-1522 | 2011-03-04 |
| 1982835559 | Maria Strimbu | Family Medicine | 4030 Sheridan St Ste A, Hollywood, FL 33021-3564 | 2009-07-30 |
| 1396998944 | Wilson Izquierdo | Family Medicine | 2229 Sheridan St, Hollywood, FL 33020-2040 | 2008-10-28 |
| Find all providers in HOLLYWOOD | ||||
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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.