AUDLEY LLOYD MARTIN OSBOURNE (NPI# 1992900062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992900062 |
| Entity Type | Individual |
| Full Name | AUDLEY LLOYD MARTIN OSBOURNE |
| Credential | MD |
| Practice Address |
5065 State Road 7 Suite 203 Lake Worth FL 33449-4615 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 5614320037 |
| Practice Fax Number | 5614320066 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2016-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | L-224804 | MA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | ME113487 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 0363920 | 01 |
| FL | WELLCARE | 1096529 | 01 |
| FL | BCBS | 14NN3 | 01 |
| FL | DIMENSION | 14426 | 01 |
| FL | AETNA | 9155643 | 01 |
| FL | AVMED | 362745 | 01 |
| FL | FREEDOM | P1035875 | 01 |
| FL | RR MEDICARE | P01604782 | 01 |
| FL | OPTIMUM | P971629 | 01 |
| Street Address |
5065 STATE ROAD 7 SUITE 203 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33449-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107323 | Richard E. Eisenman | Internal Medicine | 5065 State Road 7, Suite 201, Lake Worth, FL 33449-4615 | 2005-07-11 |
| 1235462904 | Advanced Pathology of Palm Beach County, Pa | Clinical Medical Laboratory | 5065 State Road 7, Suite 202, Lake Worth, FL 33449-4615 | 2009-09-14 |
| 1508199266 | Advanced Anesthesia of Palm Beach County, Pa | Specialist | 5065 State Road 7, Suite 101, Lake Worth, FL 33449-4615 | 2009-09-14 |
| 1346317856 | Juan A Amado | Nurse Practitioner | 5065 State Road 7, Suite 201, Lake Worth, FL 33449-4615 | 2006-11-29 |
| 1114000650 | Michael George Neam | Emergency Medicine | 5065 State Road 7, Suite 102, Lake Worth, FL 33449-4615 | 2006-10-20 |
| 1770581720 | Jesse H. Eisenman | Internal Medicine | 5065 State Road 7, Suite 201, Lake Worth, FL 33449-4615 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324398 | Rachel Hoffmann | Speech-Language Pathologist | 3377 S State Rd 7, Wellington, FL 33449 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1750858148 | Lean On Me Companion LLC | Homemaker | 10048 Southern Pride Place, Lake Worth, FL 33449 | 2018-10-24 |
| 1851833958 | Caroline Pena | Acupuncturist | 3347 S State Road 7 Ste 200, Wellington, FL 33449 | 2016-11-07 |
| 1467823294 | Sophia Dionne Lyn Chinque | Nurse Practitioner | 10358 Olde Clydesdale Circle, Lake Worth, FL 33449 | 2015-10-20 |
| 1285987057 | Jose L. Martinez Md Pa | Internal Medicine | 11653 South Breeze Pl, Wellington, FL 33449 | 2012-10-18 |
| 1396017224 | Joseph Harold Cohen | Internal Medicine | 4431jamesestatelane, Wellington, FL 33449 | 2012-02-08 |
| 1215223870 | Apollo Medical Management | Non-Pharmacy Dispensing Site | 3347 State Rd 7, Suite 203, Wellington, FL 33449 | 2011-06-22 |
| 1568757987 | Rishi Jay Panchal | Internal Medicine | 3347 S State Road 7 Ste 203, Wellington, FL 33449 | 2011-06-14 |
| 1194987222 | Advanced Surgery Center of Palm Beach County, LLC | Clinic/Center | 5065 South State Rd 7, Suite 100, Lake Worth, FL 33449 | 2008-06-30 |
| Find all providers in zip 33449 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184095234 | Genesiscare Usa of Florida LLC | Urology | 5065 S State Road 7 Ste 203, Lake Worth, FL 33449-5439 | 2015-10-15 |
| 1760432991 | Varady Weinstein & Kaufman Urology Pa | Urology | 4889 S Congress Ave, Lake Worth, FL 33461-4713 | 2006-05-10 |
| 1801895131 | Howard Neil Sabarra | Urology | 3199 Lake Worth Rd, Suite B-1, Lake Worth, FL 33461-3652 | 2005-07-19 |
| 1326040619 | Robert Burger | Urology | 3230 Lake Worth Rd, Lake Worth, FL 33461-3694 | 2005-06-01 |
| 1639171986 | Ross A. Cohen | Urology | 5065 State Road 17, Suite 203, Lake Worth, FL 33449-4615 | 2005-06-01 |
| 1356693196 | Urology Group of Florida LLC | Urology | 4889 S Congress Ave, Lake Worth, FL 33461-4762 | 2012-10-03 |
| 1952624298 | Mark A Lieberfarb Md Pa | Urology | 6894 Lake Worth Rd, Suite 204, Lake Worth, FL 33467-2964 | 2010-03-01 |
| 1962596445 | David S Meinbach | Urology | 4889 S Congress Ave, Lake Worth, FL 33461-4713 | 2006-10-02 |
| 1063504603 | Urologic Specialists, P.a. | Urology | 3230 Lake Worth Rd, Lake Worth, FL 33461-3694 | 2006-09-29 |
| 1871543314 | Leonard Kaufman | Urology | 4889 S Congress Ave, Lake Worth, FL 33461-4713 | 2006-05-12 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33449 |
Please comment or provide details below to improve the information on AUDLEY LLOYD MARTIN OSBOURNE.
| 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.