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Organization
ISRAEL MACHIN MD PA
Active
Organization
ISRAEL MACHIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL MACHIN MD (OWNER)
(561) 433-3556
Entity
Organization
Contact information
Practice address
1511 FOREST HILL BLVD, SUITE C, LAKE CLARKE SHORES, FL 33406-6077
(561) 433-3556
(561) 967-5559
Mailing address
1511 FOREST HILL BLVD, SUITE C, LAKE CLARKE SHORES, FL 33406-6077
(561) 433-3556
(561) 967-5559
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB648
MEDICARE GROUP
FL
Enumeration date
12/19/2006
Last updated
06/30/2008
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