ADVANCED BREAST CARE OF THE PALM BEACHES, PA. (NPI# 1780906909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780906909 |
| Entity Type | Organization |
| Organization Name | ADVANCED BREAST CARE OF THE PALM BEACHES, PA. |
| Practice Address |
12160 S Shore Blvd Suite 103 Wellington FL 33414-6269 |
| Mailing Address |
125 S State Road 7 Suite 104-363 Wellington FL 33414-4385 |
| Practice Telephone | 5617987494 |
| Practice Fax Number | 9783277952 |
| Mailing Telephone | 5617987494 |
| Mailing Fax Number | 9783277952 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-08-24 |
| Authorized Official Name | DR. KATHLEEN E MINNICK (OWNER) |
| Authorized Official Telephone | 5617987494 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME78137 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 03-31-2005 | 01 |
| FL | GHI | 05-15-2010 | 01 |
| FL | AETNA | 04-01-2010 | 01 |
| FL | UNITED | 02-04-2010 | 01 |
| FL | AVMED | 07-06-2005 | 01 |
| FL | CIGNA | 05-27-2010 | 01 |
| FL | MEDICARE | 03-01-2010 | 01 |
| Street Address |
12160 S SHORE BLVD SUITE 103 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164813242 | Sfm Surgery II, LLC | Surgery | 12160 S Shore Blvd, Suite 103, Wellington, FL 33414-6504 | 2015-02-11 |
| 1093056723 | Maxhealth Chiropractic, LLC | Chiropractor | 12160 S Shore Blvd, #108, Wellington, FL 33414-6269 | 2013-03-05 |
| 1558656322 | Max Avery Cohen | Chiropractor | 12160 S Shore Blvd, #108, Wellington, FL 33414-6269 | 2011-06-09 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902930795 | Palm Beach Surgical Associates | Surgery | 1397 Medical Park Blvd, Suite 100, Wellington, FL 33414-3187 | 2007-03-15 |
| 1982767224 | Thomas Brooks Scott | Surgery | 1397 Medical Park Blvd Ste 180, Wellington, FL 33414 | 2006-12-18 |
| 1215950589 | Donna H Kleban | Surgery | 3319 S State Road 7, Suite 105, Wellington, FL 33449-8184 | 2006-07-26 |
| 1962477695 | Clyde S Meckstroth | Surgery | 15590 Meadow Wood Dr, Wellington, FL 33414-9009 | 2006-02-17 |
| 1740287846 | Sandra Patricia Sanchez | Surgery | 3343 State Road 7, Wellington, FL 33449-8002 | 2005-07-05 |
| 1154323400 | Nancy Jean Lobby | Surgery | 10115 Forest Hill Blvd Ste 101, Wellington, FL 33414-6178 | 2005-06-01 |
| 1922456722 | 21st Century Oncology LLC | Surgery | 10141 Forest Hill Blvd, Wellington, FL 33414-6103 | 2016-06-02 |
| 1649649955 | Genesiscare Usa of Florida, LLC | Surgery | 3319 State Road 7, Suite 105, Wellington, FL 33449-8094 | 2015-09-16 |
| 1164813242 | Sfm Surgery II, LLC | Surgery | 12160 S Shore Blvd, Suite 103, Wellington, FL 33414-6504 | 2015-02-11 |
| 1609141365 | Donna H Kleban Md Facs Pa | Surgery | 1395 S State Road 7, Suite 410, Wellington, FL 33414-9325 | 2012-03-14 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on ADVANCED BREAST CARE OF THE PALM BEACHES, PA..
| 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.