| Regina B Portnova Md Inc | |
|
2951 Nw 49 Ave Suite 201 Lauderdale Lakes FL 33313 | |
| (954) 486-5700 | |
| (954) 484-2574 |
| Full Name | Regina B Portnova Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2951 Nw 49 Ave, Lauderdale Lakes, Florida |
| Authorized Official Name and Position | Stanislav Portnov (OFFICE DIRECTOR) |
| Authorized Official Contact | 9544865700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regina B Portnova Md Inc 2951 Nw 49 Ave Suite 201 Lauderdale Lakes FL 33313 Ph: (954) 486-5700 | Regina B Portnova Md Inc 2951 Nw 49 Ave Suite 201 Lauderdale Lakes FL 33313 Ph: (954) 486-5700 |
| NPI Number | 1336165349 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 10/26/2015 |
| Medicare PECOS PAC ID | 3274550165 |
|---|---|
| Medicare Enrollment ID | O20051031000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336165349 | NPI | - | NPPES |
| 004877800 | Medicaid | FL | |
| 271339000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 91789 (Florida) | Primary |
| Provider Name | Regina B Portnova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114908373 PECOS PAC ID: 4587620885 Enrollment ID: I20041208000754 |
| Provider Name | Katherine S Launer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831208602 PECOS PAC ID: 4082651666 Enrollment ID: I20050415000045 |
Family Practic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4699 N State Road 7, Suite B-2, Lauderdale Lakes, FL 33319 Phone: 954-486-1925 Fax: 954-486-1983 | |
University Health Care Lauderdale, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4850 W Oakland Park Blvd Ste 209, Lauderdale Lakes, FL 33313 Phone: 786-248-5767 | |
Paul Esposito M.d. Facs Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 W Oakland Park Blvd, 306, Lauderdale Lakes, FL 33313 Phone: 954-730-3309 Fax: 954-486-1079 | |
Henderson Behavioral Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4720 N State Road 7 Bldg B, Lauderdale Lakes, FL 33319 Phone: 954-485-8888 Fax: 954-497-3856 | |
Higi Care Network (de), P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4500 N State Road 7 Ste 102, Lauderdale Lakes, FL 33319 Phone: 561-381-9258 | |
Rjm Medical Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3871 W Oakland Park Blvd, Lauderdale Lakes, FL 33311 Phone: 954-858-5717 Fax: 954-484-0530 | |
St. Anthony's Rehabilitation Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3487 Nw 30th St, Lauderdale Lakes, FL 33311 Phone: 954-739-6233 Fax: 954-485-4023 |