Israel Machin MD PA
General Practice in Lake Clarke Shores, FL. Organization (NPI-2).
NPI number1104989342
StatusActive
Last updated in NPPESJun 30, 2008
Details
- NPI
- 1104989342
- Entity type
- Organization (NPI-2)
- Legal business name
- Israel Machin MD PA
- Organization subpart
- No
- Enumeration date
- Dec 19, 2006
- Last updated
- Jun 30, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
1511 Forest Hill BlvdSuite C
Lake Clarke Shores, FL 33406-6077
Phone 561-433-3556 · Fax 561-967-5559
Mailing address
1511 Forest Hill BlvdSuite C
Lake Clarke Shores, FL 33406-6077
Phone 561-433-3556 · Fax 561-967-5559
Authorized official
Israel Machin
Owner
5614333556
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