Individual Healthcare Provider
Sergiy Pankin, ARNP, FNP-BC
Provider's NPPES record last updated: October 17, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1275053894
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Tamarac, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 6:04 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Florida)
- ARNP9299746
Practice Locations
Practice Location
7481 W Oakland Park Blvd
Ste 100
Tamarac, Florida 33319-4985
Phone: (954) 771-7743
Additional Practice Location
1065 Ne 125th St
Ste 206
North Miami, Florida 33161-5832
Phone: (305) 891-0050
Fax: (305) 891-0497
Additional Practice Location
10301 Hagen Ranch Rd Ste B200
Boynton Beach, Florida 33437-3723
Phone: (561) 752-9490
Fax: (561) 752-9491
Record Information
- Enumeration Date
- June 24, 2017
- Provider's NPPES Record Last Updated
- October 17, 2023
- Certification Date
- October 17, 2023
- NPISignal NPPES Dataset
- August 2026
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