| NPI | 1104989342 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-12-19 |
| Last Updated | 2008-06-30 |
| Authorized Official | Israel Machin owner Phone: 5614333556 |
| Mailing Address | 1511 Forest Hill Blvd, Suite C Lake Clarke Shores, FL 33406-6077 United States Phone: (561) 433-3556 | Fax: (561) 967-5559 📍 View Map |
| Primary Practice Address | 1511 Forest Hill Blvd, Suite C Lake Clarke Shores, FL 33406-6077 United States Phone: (561) 433-3556 | Fax: (561) 967-5559 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | FL | AB648 | Medicare Group |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208D00000X – General Practice | — | — |
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About NPI 1104989342
Israel Machin Md Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1104989342. The primary specialty listed is General Practice. The organization is located in Lake Clarke Shores, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104989342?
NPI 1104989342 belongs to Israel Machin Md Pa, a General Practice in Lake Clarke Shores, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104989342 active?
The current status of NPI 1104989342 in the NPPES registry is Active. The record was last updated on 2008-06-30.
What specialty is NPI 1104989342?
NPI 1104989342 is classified under the taxonomy General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104989342?
You can verify NPI 1104989342 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104989342?
The primary practice address on file for NPI 1104989342 is 1511 Forest Hill Blvd, Lake Clarke Shores, FL 33406-6077. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104989342 issued?
NPI 1104989342 was first issued (enumerated) on 2006-12-19. The NPPES record was last updated on 2008-06-30.
Practice Location Map
Israel Machin Md Pa is located at 1511 Forest Hill Blvd, Lake Clarke Shores, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Israel Machin Md Pa. All records sourced from the CMS NPPES registry.