Juan M Premoli (NPI# 1053375584, PAC ID# 8628970688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1053375584 |
| PAC ID by PECOS | 8628970688 |
| Professional Enrollment ID | I20040121001105 |
| Full Name | Juan M Premoli |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Address |
603 N Flamingo Rd Suite 251 Pembroke Pines FL 33028-1013 |
| Phone Number | 9544303999 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1994 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 9830082882 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100281 | MEMORIAL HOSPITAL WEST |
| 100131 | AVENTURA HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 21150 Biscayne Blvd, Suite 104, Aventura, FL 33180-1231 | 3055352170 | 21ST CENTURY ONCOLOGY, LLC |
| 3501 Health Ctr Blvd, Suite 2145, Estero, FL 34135-8134 | 2392750728 | 21ST CENTURY ONCOLOGY, LLC |
| 603 N Flamingo Rd, Suite 251, Pembroke Pines, FL 33028-1013 | 9544303999 | 21ST CENTURY ONCOLOGY, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 66% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 91% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | 21ST CENTURY ONCOLOGY, LLC |
| Physicians | 306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra E Marrero Ortiz | General Surgery | 21st Century Oncology, LLC | 720 Doctors Dr, Englewood, FL 34223-3992 |
| Eihab Akary | Urology | 21st Century Oncology, LLC | 3325 S Tamiami Trl, Suite 200, Sarasota, FL 34239-5114 |
| Aimiee Michelle Cruz | Nurse Practitioner | 21st Century Oncology, LLC | 16420 Healthpark Commons Dr, Suite 100, Fort Myers, FL 33908-9621 |
| Staci Lin Mitchell | Nurse Practitioner | 21st Century Oncology, LLC | 842 Sunset Lake Blvd, Suite 403, Venice, FL 34292-7553 |
| Nicole B Houle | Nurse Practitioner | 21st Century Oncology, LLC | 1419 Se 8th Ter, Cape Coral, FL 33990-3213 |
| Geoffrey Alan Geiger | Radiation Oncology | 21st Century Oncology, LLC | 3426 N Roosevelt Blvd, Key West, FL 33040-4224 |
| Ashok V.s. Kumar | Hematology/oncology | 21st Century Oncology, LLC | 12741 Miramar Pkwy, Suite 306, Miramar, FL 33027-2905 |
| Donna L Irving | Nurse Practitioner | 21st Century Oncology, LLC | 28930 Trails Edge Boulevard, Suite 200, Bonita Springs, FL 34134-7582 |
| Aurora Y Luna | Diagnostic Radiology | 21st Century Oncology, LLC | 1311 N University Dr, Coral Springs, FL 33071-6622 |
| Elizabeth A Arguelles | General Surgery | 21st Century Oncology, LLC | 733 4th Ave N, Naples, FL 34102-5731 |
| Street Address |
603 N FLAMINGO RD SUITE 251 |
| City | PEMBROKE PINES |
| State | FL |
| Zip | 33028-1013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Milton Gedallovich | Gastroenterology | Gastroenterology and Hepatology Associates of South Florida | 603 N Flamingo Rd, Suite 258, Pembroke Pines, FL 33028-1013 |
| Phi-van T Le | Dermatology | Naples Center for Dermatology and Riverchase Dermatology | 603 N Flamingo Rd, Suite 350, Pembroke Pines, FL 33028-1013 |
| Leonardo N Catalano Vazquez | Obstetrics/gynecology | Vitalmd Group Holding LLC | 603 N Flamingo Rd, 360a Michael F Augustino Md LLC, Pembroke Pines, FL 33028-1023 |
| Arthur M Fishman | Ophthalmology | Eye Surgery Associates LLC | 603 N Flamingo Rd, Suite 250, Pembroke Pines, FL 33028-1013 |
| Mark H. Christ | Urology | 21st Century Oncology, LLC | 603 N Flamingo Rd, Suite 251, Pembroke Pines, FL 33028-1013 |
| Howard Mark Graubard | Family Medicine | 603 N Flamingo Rd, Suite 365, Pembroke Pines, FL 33028-1013 | |
| Marc C Gittelman | Urology | 21st Century Oncology, LLC | 603 N Flamingo Rd, Suite 251, Pembroke Pines, FL 33028-1013 |
| Noya Kantor | Physician Assistant | Naples Center for Dermatology and Riverchase Dermatology | 603 N Flamingo Rd, Suite 350, Pembroke Pines, FL 33028-1013 |
| Maximo J Fernandez | Cardiovascular Disease (cardiology) | Vanguard Medical Group, LLC | 603 N Flamingo Rd, Suite 150, Pembroke Pines, FL 33028-1022 |
| Max K Dweck | Cardiovascular Disease (cardiology) | Joseph T Horgan Md Pa | 603 N Flamingo Rd, Pembroke Pine, FL 33028-1013 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Frederick Smith | Obstetrics/gynecology | Vitalmd Group Holding LLC | 603 N Flamingo Rd, 361 Gemini Obgyn LLC, Pembroke Pines, FL 33028-1005 |
| Suzette M Rodriguez | Obstetrics/gynecology | Vitalmd Group Holding LLC | 603 N Flamingo Rd, 361 Gemini Obgyn LLC, Pembroke Pines, FL 33028-1005 |
| Todd M Goldberg | Obstetrics/gynecology | Vitalmd Group Holding LLC | 603 N Flamingo Rd, 361 Gemini Obgyn LLC, Pembroke Pines, FL 33028-1005 |
| Melanie E Garcia | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 |
| Carmen G Portogues | Physician Assistant | Florida Practitioners, LLC | 703 N Flamingo Rd, Memorial Hospital West, Pembroke Pines, FL 33028-1006 |
| Manuel A Carrazana | Nurse Practitioner | Professional Surgical Services Pllc | 703 N Flamingo Rd, Memorial Hospital W, Pembroke Pines, FL 33028-1006 |
| Sonia Sani | Internal Medicine | Eastside Hospitalists Inc | 703 N Flamingo Rd, Memorial Hospital West, Pembroke Pines, FL 33028-1006 |
| Monali Laxpati Gidwani | Family Medicine | Eastside Hospitalists Inc | 703 N Flamingo Rd, Memorial Hospital West, Pembroke Pines, FL 33028-1006 |
| James R Goodman | Anesthesiology | Sheridan Healthcorp Inc | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1006 |
| Iris C Cruz | Nurse Practitioner | Inphynet South Broward LLC | 703 N Flamingo Rd, Memorial Hospital West, Pembroke Pines, FL 33028-1006 |
| Find all physicians in zip 33028 | |||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
| Specialty | UROLOGY |
| City + Specialty | PEMBROKE PINES + UROLOGY |
Please comment or provide details below to improve the information on Juan M Premoli.
| 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.