Kenneth Blaze (NPI# 1295761286, PAC ID# 4082506506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1295761286 |
| PAC ID by PECOS | 4082506506 |
| Professional Enrollment ID | I20040329000324 |
| Full Name | Kenneth Blaze |
| Organization Legal Name | RMA MEDICAL CENTERS OF FLORIDA LLC |
| Address |
3 Sw 129th Ave Suite 101 Pembroke Pines FL 33027-1778 |
| Phone Number | 9544334200 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1975 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3274763990 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1316 N State Rd, Suite 7, Margate, FL 33063-2843 | 9549689993 | RMA MEDICAL CENTERS OF FLORIDA LLC |
| 3 Sw 129th Ave, Suite 101, Pembroke Pines, FL 33027-1778 | 9544334200 | RMA MEDICAL CENTERS OF FLORIDA LLC |
| Organization Legal Name | RMA MEDICAL CENTERS OF FLORIDA LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ujjwala Kalangi | Family Medicine | Rma Medical Centers of Florida LLC | 6803 Lake Worth Rd, Suite 210, Greenacres, FL 33467-2980 |
| Ross J Schwarz | Internal Medicine | Rma Medical Centers of Florida LLC | 1316 N State Rd, Suite 7, Margate, FL 33063-2843 |
| Vitia A Pack | Physician Assistant | Rma Medical Centers of Florida LLC | 2295 N University Dr, Pembroke Pines, FL 33024-3611 |
| Leon Roth | Internal Medicine | Rma Medical Centers of Florida LLC | 1460 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4617 |
| Mario Santiago | General Practice | Rma Medical Centers of Florida LLC | 2295 N University Dr, Pembroke Pines, FL 33024-3611 |
| Barbara Martin | Internal Medicine | Rma Medical Centers of Florida LLC | 1316 N State Rd, Suite 7, Margate, FL 33063-2843 |
| Satie S Kallicharan | Physician Assistant | Rma Medical Centers of Florida LLC | 3 Sw 129th Ave, Suite 101, Pembroke Pines, FL 33027-1778 |
| Marvin Arenstein | Family Medicine | Rma Medical Centers of Florida LLC | 2295 N University Dr, Pembroke Pines, FL 33024-3611 |
| Alex R Cohen | Family Medicine | Rma Medical Centers of Florida LLC | 1316 N State Rd, Suite 7, Margate, FL 33063-2843 |
| Ileana A Vila | Internal Medicine | Rma Medical Centers of Florida LLC | 1316 N State Rd, Suite 7, Margate, FL 33063-2843 |
| Street Address |
3 SW 129TH AVE SUITE 101 |
| City | PEMBROKE PINES |
| State | FL |
| Zip | 33027-1778 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Hendricks | Physician Assistant | Leavitt Medical Associates of Florida Inc | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1778 |
| Amy Greenberg | Physician Assistant | Leavitt Medical Associates of Florida Inc | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1778 |
| Satie S Kallicharan | Physician Assistant | Rma Medical Centers of Florida LLC | 3 Sw 129th Ave, Suite 101, Pembroke Pines, FL 33027-1778 |
| Jay Gottlieb | Dermatology | Leavitt Medical Associates of Florida Inc | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1778 |
| Elyse Julian | Dermatology | Leavitt Medical Associates of Florida Inc | 3 Sw 129th Ave, Suite 100, Pembroke Pines, FL 33027-1778 |
| Juan D Vidal | Physician Assistant | Rma Medical Centers of Florida LLC | 3 Sw 129th Ave, Suite 101, Pembroke Pines, FL 33027-1778 |
| Beatrice M Grumberg | Internal Medicine | Rma Medical Centers of Florida LLC | 3 Sw 129th Ave, Suite 101, Pembroke Pines, FL 33027-1778 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana M Levinson | Family Medicine | South Broward Hospital District | 17011 Pines Blvd, Pembroke Pines, FL 33027-1003 |
| Neal M Bullock | Podiatry | 17013 Pines Blvd, Pembroke Pines, FL 33027-1003 | |
| David L Andrisani | Family Medicine | 15800 Pines Blvd, Suite 329, Pembroke Pines, FL 33027-1212 | |
| Renee T Neely | Audiologist | 15800 Pines Blvd, Suite 347, Pembroke Pines, FL 33027-1212 | |
| Ran Huo | Dermatology | Vitalmd Group Holding LLC | 14932 Pines Blvd, Pembroke Pines, FL 33027-1213 |
| Ladan Pourmasiha | Osteopathic Manipulative Medicine | Criticare Clinics Inc | 15885 Pines Blvd, Pembroke Pines, FL 33027-1220 |
| Jorge Carriazo Isasi | Family Medicine | Criticare Clinics Inc | 15885 Pines Blvd, Pembroke Pines, FL 33027-1220 |
| Reynold Duarte Martinez | Internal Medicine | Criticare Clinics Inc | 15885 Pines Blvd, Pembroke Pines, FL 33027-1220 |
| Inemesit Abia | Emergency Medicine | Criticare Clinics Inc | 15885 Pines Blvd, Pembroke Pines, FL 33027-1220 |
| Samantha Cahen | Nurse Practitioner | Criticare Clinics Inc | 15885 Pines Blvd, Pembroke Pines, FL 33027-1220 |
| Find all physicians in zip 33027 | |||
| City | PEMBROKE PINES |
| Zip Code | 33027 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PEMBROKE PINES + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.