INTERACTIVEMD LLC (NPI# 1790031300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790031300 |
| Entity Type | Organization |
| Organization Name | INTERACTIVEMD LLC |
| Practice Address |
5300 Broken Sound Blvd Nw Suite 200 Boca Raton FL 33487-3520 |
| Practice Telephone | 8886572560 |
| Practice Fax Number | 5619982057 |
| Mailing Telephone | 8886572560 |
| Mailing Fax Number | 5619982057 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |
| Authorized Official Name | MR. GARY WALD (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 8886572560 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | ONCALL ONLINE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
Dietary & Nutritional Service Providers | ||
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers |
| Street Address |
5300 BROKEN SOUND BLVD NW SUITE 200 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33487-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
| 1275187015 | Trusted Home Care Agency | Home Health | 1200 S. Rogers Circle, Suite #4, Boca Raton, FL 33487 | 2019-07-30 |
| 1972064475 | West Palm Beac Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 902 Clint Moore Road, Ste 144, Boca Raton, FL 33487 | 2019-03-27 |
| 1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
| 1942729645 | Ronald Falk | Chiropractor | 6201 N Federal Hwy #5-6, Boca Raton, FL 33487 | 2017-09-13 |
| 1205292653 | Abigail Goodwin Sladek | Nurse Practitioner | 902 Clint Moore Rd # 227, Boca Raton, FL 33487 | 2016-01-14 |
| 1538539879 | Nancy Gonzalez | Dental Hygienist | 904 Clint Moore Rd, Boca Raton, FL 33487 | 2015-09-29 |
| 1083090138 | John Hooper Griscom | Internal Medicine | 3752 Mykonos Court, Boca Raton, FL 33487 | 2015-07-30 |
| 1144600321 | Hear Again LLC | Audiologist-Hearing Aid Fitter | 851 Broken Sound Pkwy Nw Ste 120, Boca Raton, FL 33487 | 2015-06-03 |
| 1457759193 | Element Lab Partners, LLC | Clinical Medical Laboratory | 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 | 2014-12-11 |
| Find all providers in zip 33487 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561164 | Mariela Riegger | Registered Nurse | 2725 Scarlet Rd, Winter Park, FL 32792-4328 | 2019-11-03 |
| 1659928844 | Sandra Reiner | Registered Nurse | 7305 N Military Trl Ofc 8a-211, Riviera Beach, FL 33410-7417 | 2019-08-22 |
| 1407323736 | Monica Musiet | Registered Nurse | 14711 Sw 150th St, Miami, FL 33196-2369 | 2018-10-24 |
| 1437677440 | Sharon Lynn Krispinsky | Registered Nurse | 12550 New Brittany Blvd Ste 200, Fort Myers, FL 33907-3655 | 2017-08-30 |
| 1053770420 | Tampa Rx Care LLC | Registered Nurse | 15416 N. Florida Ave, Suite 200, Tampa, FL 33613 | 2016-02-15 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1710352075 | Pinellas Park Drugs LLC | Registered Nurse | 6280 66th St N, Pinellas Park, FL 33781-5026 | 2015-12-11 |
| 1689044141 | New Care Pharmacy LLC | Registered Nurse | 14306 N Dale Mabry Hwy Ste D, Tampa, FL 33618-2052 | 2015-09-28 |
| 1720457740 | Miami Coast Pharmacy LLC | Registered Nurse | 1250 Nw 7th St Unit 101-102, Miami, FL 33125-3744 | 2015-09-21 |
| 1225406200 | Wesley Chapel Rx LLC | Registered Nurse | 2653 Bruce B Downs Blvd Ste 115, Wesley Chapel, FL 33544-9206 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33487 |
Please comment or provide details below to improve the information on INTERACTIVEMD 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.