JHS SURGICAL PAVILLION LLC (NPI# 1720619927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720619927 |
| Entity Type | Organization |
| Organization Name | JHS SURGICAL PAVILLION LLC |
| Practice Address |
3319 S State Road 7 Ste 107 Wellington FL 33449-8099 |
| Practice Telephone | 5617678318 |
| Practice Fax Number | 5618101665 |
| Mailing Telephone | 5617678318 |
| Mailing Fax Number | 5618101665 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | STEVEN RUEDA (OWNER/ AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 3059725299 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians |
| Street Address |
3319 S STATE ROAD 7 STE 107 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33449-8099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324398 | Rachel Hoffmann | Speech-Language Pathologist | 3377 S State Rd 7, Wellington, FL 33449 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1851833958 | Caroline Pena | Acupuncturist | 3347 S State Road 7 Ste 200, Wellington, FL 33449 | 2016-11-07 |
| 1467823294 | Sophia Dionne Lyn Chinque | Nurse Practitioner | 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 | 2015-10-20 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1215223870 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 3347 State Rd 7, Suite 203, Wellington, FL 33449 | 2011-06-22 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1194987222 | Advanced Surgery Center of Palm Beach County, LLC | Clinic/Center | 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 | 2008-06-30 |
| Find all providers in zip 33449 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658648 | Daniel Calva-cerqueira, M.d., P.a. | Plastic Surgery | 7300 N Kendall Dr Ste 201, Miami, FL 33156-7840 | 2016-09-23 |
| 1801158274 | Keys Plastic Surgery, Inc. | Plastic Surgery | 10095 Overseas Hwy, Marathon, FL 33050-3336 | 2012-06-12 |
| 1245507250 | Thomas L. Zoeller, Md,pa | Plastic Surgery | 2760 Se 17th St Ste 102, Ocala, FL 34471-5550 | 2011-11-18 |
| 1972780526 | Clifton L Cannon IIi | Plastic Surgery | 13055 Sw 42nd St Ste 101, Miami, FL 33175-3409 | 2008-01-25 |
| 1528086196 | Jaime Perez | Plastic Surgery | 307 S Macdill Ave, Tampa, FL 33609-3141 | 2006-07-18 |
| 1487683801 | David Eric Halpern | Plastic Surgery | 120 S Fremont Ave, Tampa, FL 33606-1703 | 2006-06-30 |
| 1568435832 | Antonio J Gayoso | Plastic Surgery | 1515 22nd Ave N, St Petersburg, FL 33704-3113 | 2006-02-08 |
| 1265437180 | Mary Ellen Beatty | Plastic Surgery | 13020 N Telecom Parkway, Temple Terrace, FL 33637 | 2005-06-16 |
| 1215475504 | Orlando Plastic Surgery Institute, Pa | Plastic Surgery | 801 N Orange Ave, Suite 530, Orlando, FL 32801-1026 | 2017-02-07 |
| 1073064382 | A.desrosiers IIi, M.d., Corp | Plastic Surgery | 6705 S Red Rd, Suite 516, South Miami, FL 33143-3622 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33449 |
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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.