Marina Rabkin, MD
Individual provider Active NPI Family Medicine Physician · St Augustine, FL
NPI 1366492951 · NPPES record last updated Jun 19, 2008
Key facts
- NPI
- 1366492951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME92879 (FL)
- Practice address
- 665 State Road 207
Suite 102
St Augustine, FL 32084-5938 - Phone
- (904) 824-8158
- Fax
- (904) 823-1284
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PCC Medical Holdings LLC
Practice addresses (Care Compare)
2911 N Military TRL D
PCC of West Palm
West Palm Beach, FL 33409-2922
Phone (561) 478-8825
7000 W Palmetto Park Rd
103 PCC of East Boca
Boca Raton, FL 33433-3429
Phone (561) 347-8122
8130 Royal Palm Blvd
Suite 205
Coral Springs, FL 33065-5703
Phone (954) 840-1666
Hospital & facility affiliations
- Palm Beach Home Health Agency
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051117000397 | FL | Practitioner - Family Practice | 4789603838 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME92879 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Medical Holdings LLC | Current |
Accepting new patients |
Locations
7000 W Palmetto Park Rd
Ste 406
Boca Raton, FL 33433
Phone (561) 289-3421
9960 Central Park Blvd N
Ste 450
Boca Raton, FL 33428
Phone (561) 535-1225
7000 W Palmetto Park Rd
Ste 103
Boca Raton, FL 33433
Phone (561) 347-8122
1363 S Military Trl
Deerfield Beach, FL 33442
Phone (954) 570-7270
4201 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 485-1131
1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165
1732 S Congress Ave
Palm Springs, FL 33461
Phone (561) 385-0731
7166 N Nob Hill Rd
Tamarac, FL 33321
Phone (786) 583-5100
2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825
Interoperability endpoints
- marina.rabkin.1@32578.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME92879 | FL | Yes |
Addresses
Primary practice location
665 State Road 207
Suite 102
St Augustine, FL 32084-5938
Mailing address
665 State Road 207
Suite 102
St Augustine, FL 32084-5938
Phone (904) 824-8158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 273940200 | Medicaid | FL |
Other providers in St Augustine, FL
- Paige Ann Queen
- Sarah Quigg
- Melissa Shannon Quilty
- Morgan Quinn
- Jeannette Quinones
- Catherine Suzanne Rada
- Radhika Prakash, MD
- Radiology Imaging Associates LLC
- Radiology Imaging Associates LLC
- Radiology Imaging Associates, LLC
All providers in St Augustine, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.