LISA ANN ANTONCZAK (NPI# 1801363411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801363411 |
| Entity Type | Individual |
| Full Name | LISA ANN ANTONCZAK |
| Other Name | LISA ANN THUMM |
| Credential | APRN |
| Practice Address |
23 Pepperwood Ct Boynton Beach FL 33426-9351 |
| Practice Telephone | 3307174013 |
| Mailing Telephone | 3307174013 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1000002 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
23 PEPPERWOOD CT |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-9351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| 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 |
|---|---|---|---|---|
| 1346869237 | Guerry Cenord | Family Medicine | 7987 Clementine Dr, Boynton Beach, FL 33436-1605 | 2020-04-10 |
| 1841829512 | Christian E Sanon | Family Medicine | 1690 Renaissance Commons Blvd Apt 1301, Boynton Beach, FL 33426-7211 | 2020-04-05 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1518481191 | Esther Thomas | Family Medicine | 115 Nw 14th Ave, Boynton Beach, FL 33435-2634 | 2017-07-26 |
| 1013430701 | Dawn M Sepulveda | Family Medicine | 10151 Enterprise Ctr Ste 106, Boynton Beach, FL 33437-3760 | 2017-07-25 |
| 1588186191 | Tyler J Provost | Family Medicine | 4600 N Ocean Blvd Ste 101, Boynton Beach, FL 33435-7365 | 2017-07-14 |
| 1609001106 | Trudell A Doctor | Family Medicine | 7730 Boynton Beach Blvd Ste 3, Boynton Beach, FL 33437-6155 | 2009-05-27 |
| 1265607501 | George Andricopoulos | Family Medicine | 2010 S Federal Hwy Apt I409, Boynton Beach, FL 33435-6912 | 2008-04-28 |
| 1497925085 | Donald Dunayer | Family Medicine | 5874 Crystal Shores Dr, Suite 107, Boynton Beach, FL 33437-5683 | 2008-03-10 |
| 1295924496 | Peggy L Schneider M.d. | Family Medicine | 2623 S Seacrest Blvd Ste 106, Boynton Beach, FL 33435-7531 | 2007-10-24 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
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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.