| Associated Family Physicians Of Boca Raton, P.l. | |
|
9910 Sandalfoot Blvd Suite 1 Boca Raton FL 33428-6692 | |
| (561) 883-3030 | |
| (561) 852-7611 |
| Full Name | Associated Family Physicians Of Boca Raton, P.l. |
|---|---|
| Speciality | Family Medicine |
| Location | 9910 Sandalfoot Blvd, Boca Raton, Florida |
| Authorized Official Name and Position | Lynda Altman (CHAIRMAN) |
| Authorized Official Contact | 5618833030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Family Physicians Of Boca Raton, P.l. 9910 Sandalfoot Blvd Suite 1 Boca Raton FL 33428-6692 Ph: (561) 883-3030 | Associated Family Physicians Of Boca Raton, P.l. 9910 Sandalfoot Blvd Suite 1 Boca Raton FL 33428-6692 Ph: (561) 883-3030 |
| NPI Number | 1942285770 |
|---|---|
| Provider Enumeration Date | 12/14/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8527958941 |
|---|---|
| Medicare Enrollment ID | O20040318001179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942285770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0055206 (Florida) | Primary |
| Provider Name | Debra Costantino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760540025 PECOS PAC ID: 9537261839 Enrollment ID: I20070216000124 |
| Provider Name | Owen A Barruw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568468494 PECOS PAC ID: 9739204959 Enrollment ID: I20100914000254 |
| Provider Name | Lynda Altman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801892781 PECOS PAC ID: 6103941323 Enrollment ID: I20100917001083 |
| Provider Name | Dushyant Jagdish Utamsingh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447256359 PECOS PAC ID: 0648395863 Enrollment ID: I20110105000283 |
| Provider Name | Olivia H Iovino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760857643 PECOS PAC ID: 6204138837 Enrollment ID: I20160113001734 |
| Provider Name | Radhika Pushkar Phadke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003026055 PECOS PAC ID: 4486827367 Enrollment ID: I20170403002190 |
| Provider Name | Samantha L Burstell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235653825 PECOS PAC ID: 9335568211 Enrollment ID: I20200925001033 |
| Provider Name | Sherlyne Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972076099 PECOS PAC ID: 1153723606 Enrollment ID: I20210707001769 |
| Provider Name | Arlande Rita Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801486782 PECOS PAC ID: 1254736200 Enrollment ID: I20210830000909 |
| Provider Name | Natasha Destin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184213068 PECOS PAC ID: 7810393444 Enrollment ID: I20210908001064 |
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Michelle Y Bruzzo Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 Clint Moore Rd, Suite 302, Boca Raton, FL 33496 Phone: 561-988-5387 Fax: 561-988-5388 | |
Gjorgji Trnovski Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 Nw 15th St, Suite 215a, Boca Raton, FL 33486 Phone: 561-955-1890 Fax: 561-392-8103 | |
Tamara Liss Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 Meadows Rd, Suite 103, Boca Raton, FL 33486 Phone: 561-347-9044 Fax: 561-347-9043 | |
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