Physicians Group Of South Florida Pa | |
1801 Ne 123rd St Ste 405 North Miami FL 33181-2884 | |
(305) 674-5925 | |
(305) 674-5927 |
Full Name | Physicians Group Of South Florida Pa |
---|---|
Speciality | Internal Medicine |
Location | 1801 Ne 123rd St Ste 405, North Miami, Florida |
Authorized Official Name and Position | Jane S Cohen (COO) |
Authorized Official Contact | 3056745925 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Physicians Group Of South Florida Pa 4300 Alton Rd #810 Miami Beach FL 33140-2800 Ph: (305) 674-5925 | Physicians Group Of South Florida Pa 1801 Ne 123rd St Ste 405 North Miami FL 33181-2884 Ph: (305) 674-5925 |
NPI Number | 1932185238 |
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Provider Enumeration Date | 12/19/2005 |
Last Update Date | 08/27/2024 |
Medicare PECOS PAC ID | 8820065295 |
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Medicare Enrollment ID | O20040914001368 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932185238 | NPI | - | NPPES |
353372300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME39020 (Florida) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | ME39020 (Florida) | Primary |
Provider Name | Leilany Irizarry-colon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962408120 PECOS PAC ID: 0042267304 Enrollment ID: I20050407001170 |
Provider Name | Daniel Lawrence Wolfson |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1124230958 PECOS PAC ID: 1355435140 Enrollment ID: I20070925000167 |
Provider Name | Brian Pachter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750571048 PECOS PAC ID: 4082702204 Enrollment ID: I20071121000162 |
Provider Name | Martin John Drost |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235135351 PECOS PAC ID: 7012089758 Enrollment ID: I20080711000459 |
Provider Name | Arin H Newman |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447256540 PECOS PAC ID: 9133295561 Enrollment ID: I20100921000385 |
Provider Name | Jane S Cohen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417953514 PECOS PAC ID: 6507981040 Enrollment ID: I20100921000489 |
Provider Name | Alan Kutner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265438386 PECOS PAC ID: 0244281723 Enrollment ID: I20100921000551 |
Provider Name | David Cohen |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1598762668 PECOS PAC ID: 0446375992 Enrollment ID: I20100921000597 |
Provider Name | Ivan M Jonas |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265438410 PECOS PAC ID: 5092782466 Enrollment ID: I20100921000666 |
Provider Name | Jason I Radick |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336145440 PECOS PAC ID: 5395923643 Enrollment ID: I20110711000136 |
Provider Name | Kathleen Melendez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679887632 PECOS PAC ID: 7618110099 Enrollment ID: I20180405000728 |
Provider Name | Naomi Kira White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518437755 PECOS PAC ID: 3577898329 Enrollment ID: I20190716001983 |
Provider Name | Danny Allen Abouekde |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386147833 PECOS PAC ID: 8224453980 Enrollment ID: I20200729001406 |
Provider Name | Lian Jelenszky |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144884552 PECOS PAC ID: 3678905353 Enrollment ID: I20220520000115 |
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