JERALD VIZZONE, D.O. (NPI# 1114368743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114368743 |
| Entity Type | Organization |
| Organization Name | JERALD VIZZONE, D.O. |
| Practice Address |
1900 Glades Rd #100 Boca Raton FL 33431-7378 |
| Mailing Address |
2295 Nw Corporate Blvd #245 Boca Raton FL 33431-7373 |
| Practice Telephone | 5614161145 |
| Mailing Telephone | 5619880545 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Authorized Official Name | DR. JERALD VIZZONE (PHYSICIAN) |
| Authorized Official Telephone | 5614161145 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | Y |
| Parent Organization Name | INJURY TREATMENT CENTER OF SOUTH FLORIDA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS11480 | FL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245671361 | Jerald Vizzone, D.o. | Non-Pharmacy Dispensing Site | 8595 College Pkwy, #110, Fort Myers, FL 33919-5191 | 2013-07-17 |
| Street Address |
1900 GLADES RD #100 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33431-7378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811016132 | Shari B Kaplan | Social Worker | 1900 Glades Rd, Suite 280, Boca Raton, FL 33431-7378 | 2007-03-28 |
| 1952847287 | Alan Bruce Dautch, P.a. | Chiropractor | 1900 Glades Rd, Suite #100, Boca Raton, FL 33431-7378 | 2017-01-10 |
| 1609204502 | David E Abisror | Psychiatry & Neurology | 1900 Glades Rd, Suite 299, Boca Raton, FL 33431-7378 | 2013-10-31 |
| 1548601636 | Naveed Shafi, Md | Non-Pharmacy Dispensing Site | 1900 Glades Rd, #100, Boca Raton, FL 33431-7378 | 2013-07-17 |
| 1801237995 | Injury Treatment Center of South Florida, Inc. | Non-Pharmacy Dispensing Site | 1900 Glades Rd, #100, Boca Raton, FL 33431-7378 | 2013-07-17 |
| 1134372048 | Sheri T Ginsburg-mantzoor P A | Social Worker | 1900 Glades Rd, Suite 280, Boca Raton, FL 33431-7378 | 2008-10-23 |
| 1548412695 | Sheri Ginsburg Mantzoor | Social Worker | 1900 Glades Rd, Suite 280, Boca Raton, FL 33431-7378 | 2008-10-21 |
| 1083870984 | Penina Flug, Lcsw, Inc. | Psychologist | 1900 Glades Rd, #352, Boca Raton, FL 33431-7378 | 2008-07-31 |
| 1265697379 | Adam Michael Friedman | Psychologist | 1900 Glades Rd, Suite 352, Boca Raton, FL 33431-7378 | 2008-07-29 |
| 1962625616 | Neuro Massage Therapist, Inc | Massage Therapist | 1900 Glades Rd, Suite 100, Boca Raton, FL 33431-7378 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272868 | Lifegaines Medical and Aesthetics | Preventive Medicine | 3785 N Federal Hwy, Suite 150, Boca Raton, FL 33431 | 2020-07-22 |
| 1285258756 | Gagan Neupane | Student in an Organized Health Care Education/Training Program | Florida Atlantic University At Boca Raton, 670 Glades Road, Suite 400, Boca Raton, FL 33431 | 2020-06-01 |
| 1407477821 | Paramount Medical Specialists | Preventive Medicine | 5550 Glades Road Suite, Ste 500, #1024, Boca Raton, FL 33431 | 2020-04-27 |
| 1497398358 | Dr Beverly Pedroche Inc | Psychologist | 4400 N, Federal Highway, Suite 210-48, Boca Raton, FL 33431 | 2019-10-23 |
| 1649829656 | William I Browning | Psychologist | 4400 North Federal Highway Suite #210, Boca Raton, FL 33431 | 2019-09-11 |
| 1275188898 | East Boca Pharmacy LLC | Pharmacy | 4800 Nw 2nd Ave, Suite 3, Boca Raton, FL 33431 | 2019-08-09 |
| 1790330504 | Connected Warriors | Psychologist | 950 Communications Ave Suite 115, Boca Raton, FL 33431 | 2019-08-08 |
| 1831652734 | Limitless Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2263 Nw Boca Blvd, Ste 201, Boca Raton, FL 33431 | 2019-04-09 |
| 1659841211 | Tlc Medical Solutions | Durable Medical Equipment & Medical Supplies | 4800 Nw Boca Raton Blvd Suite 5, Boca Raton, FL 33431 | 2018-11-27 |
| 1750872545 | Sunstate Physicians LLC | Internal Medicine | 2234 N Federal Hwy Ste 531, Boca Raton, FL 33431 | 2018-05-29 |
| Find all providers in zip 33431 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437543469 | Martin G. Bloom, Md, Pa | Non-Pharmacy Dispensing Site | 875 Meadows Rd Ste 325, Boca Raton, FL 33486-2349 | 2015-03-27 |
| 1356608772 | Vitamedmd LLC | Non-Pharmacy Dispensing Site | 951 Broken Sound Pkwy Nw Ste 320, Boca Raton, FL 33487-3531 | 2012-04-23 |
| 1073164604 | Todaro Bros Inc. | Non-Pharmacy Dispensing Site | 9858 Glades Rd Ste D5, Boca Raton, FL 33434-3982 | 2019-09-25 |
| 1689022147 | Provider Services of America, LLC | Non-Pharmacy Dispensing Site | 2385 Nw Executive Center Dr, Suite 100, Boca Raton, FL 33431-8579 | 2016-05-25 |
| 1548601636 | Naveed Shafi, Md | Non-Pharmacy Dispensing Site | 1900 Glades Rd, #100, Boca Raton, FL 33431-7378 | 2013-07-17 |
| 1801237995 | Injury Treatment Center of South Florida, Inc. | Non-Pharmacy Dispensing Site | 1900 Glades Rd, #100, Boca Raton, FL 33431-7378 | 2013-07-17 |
| 1043651672 | Alan Siegel, Md | Non-Pharmacy Dispensing Site | 2295 Nw Corporate Blvd, #245, Boca Raton, FL 33431-7373 | 2013-07-11 |
| 1508110560 | Planned Parenthood of South Florida and The Treasure Coast | Non-Pharmacy Dispensing Site | 8177 Glades Rd, Bay 25, Boca Raton, FL 33433-4063 | 2012-10-30 |
| 1316279581 | Boca Raton Outpatient Surgery and Laser Center | Non-Pharmacy Dispensing Site | 501 Glades Rd, Boca Raton, FL 33432-1419 | 2010-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699232 | Orlando Dermatology Clinic LLC | Non-Pharmacy Dispensing Site | 118 W Orange St, Altamonte Springs, FL 32714-2537 | 2020-11-03 |
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | BOCA RATON |
| Zip Code | 33431 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.