# ISRAEL MACHIN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104989342
- **Authorized official:** ISRAEL MACHIN MD (OWNER)
- **Authorized official phone:** (561) 433-3556

## Contact information

- **Practice address:** 1511 FOREST HILL BLVD, SUITE C, LAKE CLARKE SHORES, FL 33406-6077
- **Practice address phone:** (561) 433-3556
- **Practice address fax:** (561) 967-5559
- **Mailing address:** 1511 FOREST HILL BLVD, SUITE C, LAKE CLARKE SHORES, FL 33406-6077
- **Mailing address phone:** (561) 433-3556
- **Mailing address fax:** (561) 967-5559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 06/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AB648 | MEDICARE GROUP | FL |