Regina B Portnova Md Inc

LBN: Regina B Portnova Md Inc
Regina B Portnova Md Inc is an health care organization with primary practice located at 2951 Nw 49 Ave Suite 201, Lauderdale Lakes FL 33313. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Regina B Portnova Md Inc can be contacted via phone (954) 486-5700, or through Portnov, Stanislav via phone (954) 486-5700.

Contact Information

Primary practice address
2951 Nw 49 Ave Suite 201 Lauderdale Lakes FL 33313
Phone: (954) 486-5700
Fax: (954) 484-2574
Website:
Map and Directions
Authorized official contact:
Name: Portnov, Stanislav
Phone: (954) 486-5700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME 91789 Florida

Profile Details

NPI number 1336165349
LBN Legal business name Regina B Portnova Md Inc
DBA Doing business as
Authorized official Portnov, Stanislav
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Oct 26th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336165349 NPPES
Florida MEDICAID 004877800
Florida MEDICAID 271339000

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