DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: REGINA B PORTNOVA M.D.

MEDICARE: REGINA B PORTNOVA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME91789FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114908373
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA B PORTNOVA M.D.
Provider Business Mailing Address
First Line : 2951 NW 49TH AVE
Second Line : SUITE 201
City : LAUDERDALE LAKES
State : FL
Zip : 33313-1608
Country : US
Telephone Number : 945-486-5700
Fax Number : 954-484-2574
Provider Business Practice Location Address
First Line : 2951 NW 49TH AVE
Second Line : SUITE 201
City : LAUDERDALE LAKES
State : FL
Zip : 33313-1608
Country : US
Telephone Number : 945-486-5700
Fax Number : 954-484-2574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 05/06/2015

Similar Medicare Providers

1235500422 — DR. NICHOLAS JOSEPH CORETTI III DPM
Practice Location Address:
2951 NW 49TH AVE STE 201
LAUDERDALE LAKES, FL
33313-1608
Practice Phone: 954-486-5700
Practice Fax: 954-484-2574
1245743251 — RALPH M ZAGHA MD PA
Practice Location Address:
2951 NW 49TH AVE STE 205
LAUD LAKES, FL
33313-1608
Practice Phone: 954-652-0246
Practice Fax: 954-652-0471
1235642240 — STACY FRANKEL MD PA
Practice Location Address:
2951 NW 49TH AVE STE 205
LAUD LAKES, FL
33313-1608
Practice Phone: 954-652-0246
Practice Fax: 954-652-0471
1174024798 — JOEL FRANKEL MD PA
Practice Location Address:
2951 NW 49TH AVE STE 202
LAUDERDALE LAKES, FL
33313-1608
Practice Phone: 954-486-1250
Practice Fax: 954-486-6736
1649775065 — NJC FOOT & ANKLE SURGICAL SPECIALISTS
Practice Location Address:
2951 NW 49TH AVE STE 201
LAUDERDALE LAKES, FL
33313-1608
Practice Phone: 305-712-6395
Practice Fax: 305-630-8590
1760967012 — STEPHANIE LEAVITT APRN
Practice Location Address:
2951 NW 49TH AVE STE 202
LAUDERDALE LAKES, FL
33313-1608
Practice Phone: 954-486-1250
Practice Fax: 954-486-6736

Directions to “ REGINA B PORTNOVA M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.