Philip Ivanov (NPI# 1548563430, PAC ID# 5395922181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1548563430 |
| PAC ID by PECOS | 5395922181 |
| Professional Enrollment ID | I20110603000198 |
| Full Name | Philip Ivanov |
| Organization Legal Name | IMPACT HEALTH AND PERFORMANCE, LLC |
| Address |
180 Alt 19 Suite B Palm Harbor FL 34683-5308 |
| Phone Number | 7277858737 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0840475273 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 180 Alt 19, Suite B, Palm Harbor, FL 34683-5308 | 7277858737 | IMPACT HEALTH AND PERFORMANCE, LLC |
| Organization Legal Name | IMPACT HEALTH AND PERFORMANCE, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeri Lynn Houck | Physical Therapy | Impact Health and Performance, LLC | 180 Alt 19, Suite B, Palm Harbor, FL 34683-5308 |
| Joseph Millen | Physical Therapy | Impact Health and Performance, LLC | 180 Alt 19, Suite B, Palm Harbor, FL 34683-5308 |
| Street Address |
180 ALT 19 SUITE B |
| City | PALM HARBOR |
| State | FL |
| Zip | 34683-5308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeri Lynn Houck | Physical Therapy | Impact Health and Performance, LLC | 180 Alt 19, Suite B, Palm Harbor, FL 34683-5308 |
| Joseph Millen | Physical Therapy | Impact Health and Performance, LLC | 180 Alt 19, Suite B, Palm Harbor, FL 34683-5308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norma Malis | Clinical Social Worker | 350 Alternate 19n, Palm Harbor, FL 34683 | |
| Christopher W Lay | Internal Medicine | Florida Hospital Physician Group Inc | 4705 Alt, 19 Suite B, Palm Harbor, FL 34683-1424 |
| Craig W Burns | Family Medicine | Florida Hospital Physician Group Inc | 4705 Alt, 19 Suite B, Palm Harbor, FL 34683-1424 |
| Bernard Ronald Lopez | Psychiatry | 2843 Alt, Suite 19, Palm Harbor, FL 34683-1926 | |
| Gloydian Cruz Gomez | Physical Medicine and Rehabilitation | 2835 Alt 19, Palm Harbor, FL 34683-1926 | |
| Alison R Fuhr | Nurse Practitioner | 2843 Palm Harbor Blvd, Palm Harbor, FL 34683-1926 | |
| Mark Andrew Zuzga | Vascular Surgery | Edward G Mackay Md Pa | 2863 Alt, Suite 19, Palm Harbor, FL 34683-1926 |
| Varun Bhaskar | Pulmonary Disease | 2855 Alt, Suite 19, Palm Harbor, FL 34683-1926 | |
| Marissa B Tufariello | Physician Assistant | Edward G Mackay Md Pa | 2863 Alt, Suite 19, Palm Harbor, FL 34683-1926 |
| Melissa D Torres | Family Medicine | Baycare Medical Group, Inc. | 2939 Alt, Suite 19, Palm Harbor, FL 34683-1928 |
| Find all physicians in zip 34683 | |||
| City | PALM HARBOR |
| Zip Code | 34683 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PALM HARBOR + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Philip Ivanov.
| 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.