KIDNEY SPECIALISTS OF THE PALM BEACHES LLC (NPI# 1871609578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871609578 |
| Entity Type | Organization |
| Organization Name | KIDNEY SPECIALISTS OF THE PALM BEACHES LLC |
| Practice Address |
11301 Okeechobee Blvd Suite 5a Royal Palm Beach FL 33411 |
| Practice Telephone | 5612830384 |
| Practice Fax Number | 5612823238 |
| Mailing Telephone | 5612830384 |
| Mailing Fax Number | 5612823238 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | MOHAN ISAAC ABRAHAM (MANAGER) |
| Authorized Official Telephone | 5618684846 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | ME83538 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 271936300 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 94755 | 01 |
| Street Address |
11301 OKEECHOBEE BLVD SUITE 5A |
| City | ROYAL PALM BEACH |
| State | FL |
| Zip Code | 33411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063498947 | Sunila Pandit | Internal Medicine | 11301 Okeechobee Blvd, Suite 5a, Royal Palm Beach, FL 33411-8719 | 2005-12-21 |
| 1083141626 | Ebonee Monique Blackwood | Nurse Practitioner | 11301 Okeechobee Blvd, Royal Palm Beach, FL 33411-8719 | 2017-05-14 |
| 1891003729 | Kidney Specialists of The Palm Beaches | Internal Medicine | 11301 Okeechobee Blvd, Suite 5a, Royal Palm Beach, FL 33411-8719 | 2010-09-14 |
| 1881905925 | Manoj Bhattarai | Internal Medicine | 11301 Okeechobee Blvd, Suite 5a, Royal Palm Beach, FL 33411-8719 | 2010-06-23 |
| 1760652945 | Western Community Dialysis Center LLC | Clinic/Center | 11301 Okeechobee Blvd, Suite 2a, Royal Palm Beach, FL 33411-8719 | 2008-03-04 |
| 1740266592 | Mohan Abraham | Internal Medicine | 11301 Okeechobee Blvd, Ste 5a, Royal Palm Beach, FL 33411-8719 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1487110995 | Everglades College Inc | Chiropractor | 2085 Vista Parkway, West Palm Beach, FL 33411 | 2019-02-20 |
| 1538625652 | Amanda Marie Tropea | Behavior Technician | 2054 Vista Park Way Suite #400, West Palm Beach, FL 33411 | 2019-02-13 |
| 1528554516 | Michael Ryan Moraguez | Dentist | 11358 Okeechobee Blvd Ste 1, Royal Palm Beach, FL 33411 | 2018-07-02 |
| 1184124505 | Abd Medical Surgical & Home Care Equipments, Inc | Durable Medical Equipment & Medical Supplies | 10349 Southern Blvd, Royal Palm Beach, FL 33411 | 2018-02-13 |
| 1336668987 | Belinda Brooks-josephs | Registered Nurse | 11407 Blue Violet Lane, Royal Palm Beach, FL 33411 | 2017-09-14 |
| 1699293183 | Lisa Camille Watson | Psychologist | 7750 Okeechobee Boulevard, Suite 4-9-19, West Palm Beach, FL 33411 | 2017-09-05 |
| 1174044515 | Sherisa Harris | Licensed Practical Nurse | 260 Crestwood Circle, Unit 104, Royal Palm Beach, FL 33411 | 2017-07-06 |
| 1134659758 | Gerry B Alondra | Behavior Technician | 103 Banyan Lane, West Palm Beach, FL 33411 | 2017-06-15 |
| 1356871313 | Maylin Ojeda | Behavior Technician | 13397 55th Rd N, West Palm Beach, FL 33411 | 2017-06-13 |
| Find all providers in zip 33411 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003030537 | Mohammad T Javed Md.pa | Legal Medicine | 11476 Okeechobee Blvd, Royal Palm Beach, FL 33411-8715 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679074561 | Joy Harris | Legal Medicine | 1950 Se Port St Lucie Blvd Ste 217, Port St Lucie, FL 34952-5579 | 2018-02-26 |
| 1386016137 | International Spine Center | Legal Medicine | 1310 Gulf Blvd Apt 2g, Clearwater, FL 33767-2859 | 2015-10-20 |
| 1639579923 | Duclos Dessalines | Legal Medicine | 4519 Lake Worth Rd, Greenacres, FL 33463-3449 | 2014-08-25 |
| 1679908867 | New Smyrna Pain & Injury Clinic | Legal Medicine | 421 N Causeway, New Smyrna Beach, FL 32169-5266 | 2013-09-06 |
| 1568710853 | Fmb Medical LLC | Legal Medicine | 7205 Estero Blvd Ste 733, Fort Myers Beach, FL 33931-4779 | 2012-08-17 |
| 1699047159 | Lazaro A Cabrera | Legal Medicine | 5575 Sw 77th Ct Apt 204b, Miami, FL 33155-4318 | 2012-01-30 |
| 1891074084 | Wellmed Medical Center | Legal Medicine | 9621 Bird Rd, Miami, FL 33165-4030 | 2011-08-05 |
| 1528377603 | William M. Escoffery | Legal Medicine | 300 Harbor Blvd Ste C, N/a, Destin, FL 32541-2370 | 2010-10-06 |
| 1538478086 | Nob Hill Medical Center, Inc. | Legal Medicine | 10098 W Mcnab Rd, Tamarac, FL 33321-1895 | 2010-10-01 |
| 1780992644 | Daniel Hunt II | Legal Medicine | 2160 Anchor Ave, Deland, FL 32720-2382 | 2010-09-14 |
| Find all providers with the same taxonomy | ||||
| City | ROYAL PALM BEACH |
| Zip Code | 33411 |
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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.