EH CARDIOVASCULAR INSTITUTE OF PALM BEACH, LLC (NPI# 1750946968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750946968 |
| Entity Type | Organization |
| Organization Name | EH CARDIOVASCULAR INSTITUTE OF PALM BEACH, LLC |
| Practice Address |
1447 Medical Park Blvd Ste 101 Wellington FL 33414-3164 |
| Mailing Address |
1155 S Congress Ave Ste C Palm Springs FL 33406-5114 |
| Practice Telephone | 5617530001 |
| Practice Fax Number | 5617530005 |
| Mailing Telephone | 5617661300 |
| Mailing Fax Number | 6169305395 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | ELEIZER HERNANDEZ (PHYSICIAN OWNER) |
| Authorized Official Telephone | 5613862317 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cardiac and Vascular Institute of Palm Beach | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 109 John F Kennedy Dr Ste A, Atlantis, FL 334626617 | 5617530001 | 5617530005 |
| Street Address |
1447 MEDICAL PARK BLVD STE 101 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932175247 | Eliezer Hernandez | Internal Medicine | 1447 Medical Park Blvd Ste 101, Wellington, FL 33414-3164 | 2006-02-27 |
| 1164932257 | Emily Carr | Physician Assistant | 1447 Medical Park Blvd Ste 101, Wellington, FL 33414-3164 | 2017-10-03 |
| 1316246739 | Atif Bashir | Internal Medicine | 1447 Medical Park Blvd Ste 101, Wellington, FL 33414-3164 | 2011-03-24 |
| 1578701744 | Israel E Henriquez | Internal Medicine | 1447 Medical Park Blvd Ste 101, Wellington, FL 33414-3164 | 2009-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1952968026 | Jose Miguel Simo | Internal Medicine | 3347 S State Road 7 Ste 205, Wellington, FL 33449-8148 | 2019-05-23 |
| 1013917541 | Chandra Venugopal | Internal Medicine | 3347 State Road 7, Suite 203, Wellington, FL 33449-8095 | 2005-07-27 |
| 1144528886 | Heart and Vascular Care of South Florida | Internal Medicine | 1395 S State Road 7, #400, Wellington, FL 33414-9325 | 2011-03-04 |
| 1578701744 | Israel E Henriquez | Internal Medicine | 1447 Medical Park Blvd Ste 101, Wellington, FL 33414-3164 | 2009-01-27 |
| 1518978626 | Cardiology Partners Pl | Internal Medicine | 3347 State Road 7, Ste 203, Wellington, FL 33449-8095 | 2006-08-11 |
| 1306889365 | Medical Specialists of The Palm Beaches Inc | Internal Medicine | 10115 Forest Hill Blvd, Ste 200, Wellington, FL 33414-3105 | 2006-06-14 |
| 1992786503 | Duccio Baldari | Internal Medicine | 3347 State Road 7, Ste. 203, Wellington, FL 33449-8095 | 2005-11-10 |
| 1144212770 | Neerav S Shah | Internal Medicine | 3347 State Road 7, Ste 203, Wellington, FL 33449-8095 | 2005-08-19 |
| 1164414900 | Jean Foucauld | Internal Medicine | 3347 State Road 7, Ste. 203, Wellington, FL 33449-8095 | 2005-08-18 |
| 1437141272 | Amarnath Vedere | Internal Medicine | 3347 State Road 7, Ste. 203, Wellington, FL 33449-8095 | 2005-08-18 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on EH CARDIOVASCULAR INSTITUTE OF PALM BEACH, LLC.
| 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.