| Associatesmd Medical Group Inc | |
|
4780 Sw 64th Ave Ste 101 Davie FL 33314-4400 | |
| (954) 434-1705 | |
| Not Available |
| Full Name | Associatesmd Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4780 Sw 64th Ave Ste 101, Davie, Florida |
| Authorized Official Name and Position | Luis Felipe Lafratta (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9544341705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associatesmd Medical Group Inc 4780 Sw 64th Ave Ste 103 Davie FL 33314-4400 Ph: (954) 434-1705 | Associatesmd Medical Group Inc 4780 Sw 64th Ave Ste 101 Davie FL 33314-4400 Ph: (954) 434-1705 |
| NPI Number | 1558900472 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 6507294311 |
|---|---|
| Medicare Enrollment ID | O20200310000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558900472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carlos Gustavo Levy |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780789891 PECOS PAC ID: 9537066352 Enrollment ID: I20031218000291 |
| Provider Name | Amy L Seinfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942281142 PECOS PAC ID: 5294626917 Enrollment ID: I20040323000388 |
| Provider Name | Lissa Jean Pierre |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720077019 PECOS PAC ID: 6002706397 Enrollment ID: I20040326000139 |
| Provider Name | Marcos J Zaragoza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164520680 PECOS PAC ID: 7517955289 Enrollment ID: I20040512000382 |
| Provider Name | Olga Maric |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972581361 PECOS PAC ID: 2961493929 Enrollment ID: I20040519001291 |
| Provider Name | Wanda J Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245252782 PECOS PAC ID: 7113993437 Enrollment ID: I20040908001065 |
| Provider Name | Felipe Cubas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780752584 PECOS PAC ID: 3072587716 Enrollment ID: I20041117001142 |
| Provider Name | Fernando Fandino-sende |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285692293 PECOS PAC ID: 8325070964 Enrollment ID: I20050906000174 |
| Provider Name | Matthew Teltser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275570020 PECOS PAC ID: 7911924683 Enrollment ID: I20051101000725 |
| Provider Name | Lea Harracksingh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679560007 PECOS PAC ID: 5698795011 Enrollment ID: I20051201000214 |
| Provider Name | Diana L. Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275580789 PECOS PAC ID: 2961414024 Enrollment ID: I20060608000216 |
| Provider Name | Todd Daniel Glassman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336362904 PECOS PAC ID: 4284722778 Enrollment ID: I20071116000348 |
| Provider Name | Carolyn Maldonado Garcia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1669669578 PECOS PAC ID: 6103999545 Enrollment ID: I20080718000252 |
| Provider Name | Robin F Saltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861442527 PECOS PAC ID: 9739257197 Enrollment ID: I20081013000156 |
| Provider Name | Elisabeth E Cohn-gelwasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255436176 PECOS PAC ID: 1254492036 Enrollment ID: I20081212000200 |
| Provider Name | Amanda Berg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699984062 PECOS PAC ID: 9739241134 Enrollment ID: I20081218000524 |
| Provider Name | Owen G Peller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881665461 PECOS PAC ID: 7719951441 Enrollment ID: I20090113000189 |
| Provider Name | Rundeep Gadh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407095615 PECOS PAC ID: 1557428927 Enrollment ID: I20090330000547 |
| Provider Name | Ruchika Gadh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265675128 PECOS PAC ID: 1456400167 Enrollment ID: I20090528000333 |
| Provider Name | Patricia Bierut-daren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447257175 PECOS PAC ID: 5799686762 Enrollment ID: I20100206000001 |
| Provider Name | Andrea J Ramsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386608537 PECOS PAC ID: 0345376984 Enrollment ID: I20100407000310 |
| Provider Name | Robert S Tomchik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376525121 PECOS PAC ID: 0749312460 Enrollment ID: I20100715000852 |
| Provider Name | Cindy H Katanick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750473054 PECOS PAC ID: 3274657861 Enrollment ID: I20100903000217 |
| Provider Name | Howard Mark Ruskin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619957669 PECOS PAC ID: 8921185430 Enrollment ID: I20100925000078 |
| Provider Name | Richard Alan Reines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396735239 PECOS PAC ID: 1759305030 Enrollment ID: I20110125000553 |
| Provider Name | Morris V Epstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114982071 PECOS PAC ID: 7911196993 Enrollment ID: I20110126000112 |
| Provider Name | Jill S Liebman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154360659 PECOS PAC ID: 3173658739 Enrollment ID: I20110323000397 |
| Provider Name | Joseph Gutman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780633875 PECOS PAC ID: 9234298027 Enrollment ID: I20110418000841 |
| Provider Name | Laura J Peralta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568512598 PECOS PAC ID: 0547438467 Enrollment ID: I20110720000675 |
| Provider Name | Veronica R. Mccloskey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568491264 PECOS PAC ID: 6800864091 Enrollment ID: I20120327000140 |
| Provider Name | Juana S Recabarren Velarde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518133867 PECOS PAC ID: 4981885175 Enrollment ID: I20130225000337 |
| Provider Name | Nicole Nicophene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760703995 PECOS PAC ID: 2668614645 Enrollment ID: I20130805000705 |
| Provider Name | Majorie Marrie Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235282260 PECOS PAC ID: 2365670635 Enrollment ID: I20140113000432 |
| Provider Name | Carmen M Hurtado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710914106 PECOS PAC ID: 9931273596 Enrollment ID: I20141112000677 |
| Provider Name | Michael J Kricko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215029905 PECOS PAC ID: 5496741647 Enrollment ID: I20160720000441 |
| Provider Name | Gloria M Vazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841620390 PECOS PAC ID: 3870880065 Enrollment ID: I20161003002252 |
| Provider Name | Adela Fernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922208891 PECOS PAC ID: 0244528727 Enrollment ID: I20161017001323 |
| Provider Name | Gaetjens Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972957579 PECOS PAC ID: 8325326358 Enrollment ID: I20161026001965 |
| Provider Name | Rodolfo Herrera Barter |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235529116 PECOS PAC ID: 6103116694 Enrollment ID: I20161111001445 |
| Provider Name | Maria A Jaimes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427497734 PECOS PAC ID: 7618256397 Enrollment ID: I20161121001776 |
| Provider Name | Aneeq S Rafiq |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215367347 PECOS PAC ID: 6608155254 Enrollment ID: I20161122001856 |
| Provider Name | Luce Wildine Solari-suprena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023420858 PECOS PAC ID: 5294055992 Enrollment ID: I20170220001955 |
| Provider Name | Kirenia Santiuste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396291571 PECOS PAC ID: 4789969650 Enrollment ID: I20170316001739 |
| Provider Name | Ransky Max Allonce |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770991010 PECOS PAC ID: 6305123183 Enrollment ID: I20170503002748 |
| Provider Name | Ricardo Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326590159 PECOS PAC ID: 4284902842 Enrollment ID: I20170622002363 |
| Provider Name | Ovidiu Ghita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518228121 PECOS PAC ID: 3678891660 Enrollment ID: I20171023002097 |
| Provider Name | Marites M Montes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871658674 PECOS PAC ID: 5698035822 Enrollment ID: I20180208002321 |
| Provider Name | Ingrid A Alcover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114978285 PECOS PAC ID: 9436052644 Enrollment ID: I20180326001728 |
| Provider Name | Jean Herold Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962873406 PECOS PAC ID: 3678870318 Enrollment ID: I20180509000729 |
| Provider Name | Jorge Rubinos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659864817 PECOS PAC ID: 1456602291 Enrollment ID: I20180918003316 |
| Provider Name | Jennifer Lynn Curro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639683972 PECOS PAC ID: 9931453487 Enrollment ID: I20181119003342 |
| Provider Name | Lilian Silva Carlisle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932655529 PECOS PAC ID: 3870837156 Enrollment ID: I20181128001530 |
| Provider Name | Jeffrey Joseph Spindler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891166807 PECOS PAC ID: 1355686577 Enrollment ID: I20181217001788 |
| Provider Name | Rhea U Cualing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619445277 PECOS PAC ID: 2163768920 Enrollment ID: I20190115003191 |
| Provider Name | Melinda Exume |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700264835 PECOS PAC ID: 4284941311 Enrollment ID: I20190128000916 |
| Provider Name | Jorge Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710480272 PECOS PAC ID: 0941540645 Enrollment ID: I20190315001312 |
| Provider Name | Joelle Estrada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720480981 PECOS PAC ID: 2466782818 Enrollment ID: I20190926003001 |
| Provider Name | James M Zelch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457487472 PECOS PAC ID: 1355482621 Enrollment ID: I20210222000088 |
| Provider Name | Margeaux L German |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558969998 PECOS PAC ID: 4789090606 Enrollment ID: I20210301001863 |
| Provider Name | Dean Barry Adelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962465518 PECOS PAC ID: 6901701283 Enrollment ID: I20210715001322 |
| Provider Name | Yamilka Lemagne Pichardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609126564 PECOS PAC ID: 4183013436 Enrollment ID: I20211108002871 |
| Provider Name | Slyllia J Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366828089 PECOS PAC ID: 1759658198 Enrollment ID: I20220104002322 |
| Provider Name | Oshrit Tsipora Reich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356016406 PECOS PAC ID: 1850783127 Enrollment ID: I20220118001849 |
| Provider Name | Valenso Lilavois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104467950 PECOS PAC ID: 5395164099 Enrollment ID: I20220524003361 |
| Provider Name | Vicki A Rogove |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255483988 PECOS PAC ID: 6002998275 Enrollment ID: I20221222000556 |
| Provider Name | Juan Escobar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588661094 PECOS PAC ID: 8527058163 Enrollment ID: I20230721000204 |
| Provider Name | Susan F Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629277686 PECOS PAC ID: 3476995929 Enrollment ID: I20240529002337 |
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