SIMON BORUCKI (NPI# 1942350079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942350079 |
| Entity Type | Individual |
| Full Name | SIMON BORUCKI |
| Credential | M.D. |
| Practice Address |
1231 Coral Way Riviera Beach FL 33404-2712 |
| Practice Telephone | 8134762623 |
| Mailing Telephone | 8134762623 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2018-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2018003081 | MO | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | TRN10164 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1231 CORAL WAY |
| City | RIVIERA BEACH |
| State | FL |
| Zip Code | 33404-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050393 | Sarina Tsien Chun Ken | Nurse Practitioner | 1102 Centerstone Lane, West Palm Beach, FL 33404 | 2020-10-13 |
| 1417509613 | Amber Tamara Seaman | Social Worker | 2001 Bue Herron Drive, Riviera Beach, FL 33404 | 2019-07-09 |
| 1407419252 | Tiara Priester | Nurse's Aide | 1625 West 26th Street Riviera Beach,fl, Riviera Beach, FL 33404 | 2019-04-17 |
| 1598274110 | Yolanda Victoria Mckinney-foy | Counselor | 2910 Avenue F, Riviera Beach, FL 33404 | 2017-09-26 |
| 1356867626 | Lynette Patrice Copeland | Speech-Language Pathologist | 1901 Avenue S, 1901 Avenue S, Rivera Beach, FL 33404 | 2017-08-18 |
| 1205359320 | Community Development and Empowerment Group, Inc. | Registered Nurse | 3148 Laurel Ridge Circle, Riviera Beach, FL 33404 | 2017-07-20 |
| 1407387327 | Chelsea Flint | Counselor | 2201 Blue Heron Blvd. W., Riviera Beach, FL 33404 | 2017-03-22 |
| 1841736923 | Tangeria Mckinney | Clinic/Center | 1992 West 16th Court Apt D, Riviera Beach, FL 33404 | 2017-01-12 |
| 1942742994 | Ambrosia Treatment Center | Substance Abuse Rehabilitation Facility | 2675 Lake Drive, Singer Island, FL 33404 | 2016-11-08 |
| 1225499874 | Rhesa Riley | Marriage & Family Therapist | 2001 Blue Heron Blvd W., Riviera Beach, FL 33404 | 2016-03-10 |
| Find all providers in zip 33404 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295951374 | Roosevelt T Jackson Jr. | Emergency Medicine | 31 W 20th St Ste 100, Riviera Beach, FL 33404-6155 | 2007-04-17 |
| 1922189653 | Leonid Melnitsky | Emergency Medicine | 7305 N Military Trl, Va Medical Center - Primary Care, Riviera Beach, FL 33410-7417 | 2006-10-18 |
| 1538188446 | John Mastalski | Emergency Medicine | 7305 N Military Trl, Primary Care (110), Riviera Beach, FL 33410-7417 | 2006-07-19 |
| 1669490868 | Gary Reyburn Lammert | Emergency Medicine | 7305 N Military Trl, Emergency Department, Riviera Beach, FL 33410-7417 | 2006-07-17 |
| 1730105313 | Thomas Rostas | Emergency Medicine | 7305 N Military Trl, Primary Care (110), Riviera Beach, FL 33410-7417 | 2006-07-15 |
| 1750316972 | Evelyn Alba | Emergency Medicine | 7305 N Military Trl, Primary Care (110), Riviera Beach, FL 33410-7417 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443965 | Baptist Hospital Inc | Emergency Medicine | 8888 Navarre Pkwy Ste 106, Navarre, FL 32566-3616 | 2020-10-07 |
| 1356958631 | Fg Rapid Results, LLC | Emergency Medicine | 115 Nw 167th St Ste 101, North Miami Beach, FL 33169-6052 | 2020-09-30 |
| 1407472723 | Dispatchhealth-florida Inc. | Emergency Medicine | 5421 Beaumont Center Blvd Ste 660, Tampa, FL 33634-5223 | 2020-06-23 |
| 1083233746 | Shaina Jerome | Emergency Medicine | 21175 Via Eden, Boca Raton, FL 33433-2209 | 2020-04-13 |
| 1003454430 | South Florida Urgent Care Centers, LLC | Emergency Medicine | 1855 N Corporate Lakes Blvd Ste 2, Weston, FL 33326-3274 | 2019-12-17 |
| 1649814054 | Emergency Medicine Professionals Pa | Emergency Medicine | 3120 Howland Blvd, Deltona, FL 32725-2905 | 2019-10-30 |
| 1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1295290393 | Truepartners Westlake Emergency Specialists Pllc | Emergency Medicine | 16750 Persimmon Blvd, Westlake, FL 33470 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | RIVIERA BEACH |
| Zip Code | 33404 |
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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.