DR. DAVID ALAN LICKSTEIN


Address: 5540 Pga Blvd, Suite 200, Palm Beach Gardens, FL 33418-3987
Phone: 5615714000

DR. DAVID ALAN LICKSTEIN (NPI# 1275642183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275642183
Entity Type Individual
Full Name DR. DAVID ALAN LICKSTEIN
Credential M.D.
Practice Address 5540 Pga Blvd
Suite 200
Palm Beach Gardens
FL 33418-3987
Practice Telephone 5615714000
Practice Fax Number 5615088890
Mailing Telephone 5615714000
Mailing Fax Number 5615088890
Enumeration Date 2006-08-30
Last Update Date 2017-05-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery ME84765 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BLUECROSS BLUESHIELD 17239 01

Office Location

Street Address 5540 PGA BLVD
SUITE 200
City PALM BEACH GARDENS
State FL
Zip Code 33418-3987

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770563918 Michelle Brooke Mowry Nurse Practitioner 5540 Pga Blvd, Palm Beach Gardens, FL 33418-3987 2006-01-21
1396208278 Shane Hottin Hearing Instrument Specialist 5540 Pga Blvd, Palm Beach Gardens, FL 33418-3987 2019-04-09
1740738632 David A Lickstein Md LLC Plastic Surgery 5540 Pga Blvd, Suite 200, Palm Beach Gardens, FL 33418-3987 2016-09-20
1962873356 Kelly Greene Hearing Instrument Specialist 5540 Pga Blvd, Suite 102, Palm Beach Gardens, FL 33418-3987 2015-10-12

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1861979932 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 5410 Donald Ross Rd, Palm Beach Gardens, FL 33418 2018-07-23
1194240150 Private Home Care LLC Home Health 5211 Celery Ln, Palm Beach Gardens, FL 33418 2017-08-10
1053836791 Ashley Mooney Pharmacist 6251 Ave of The Pga, Palm Beach Gardens, FL 33418 2017-08-03
1063950343 Spinal Motion Diagnostics Fort Lauderdale LLC Clinic/Center 8435 Man O War Road, Palm Beach Gardens, FL 33418 2017-02-07
1588108823 Fernando Javier Rodriguez Pharmacist 290 Woodbine Way, Apt 215, Riviera Beach, FL 33418 2016-12-06
1811430036 Lauren Alexandra Kratofil Physical Therapist 300 Avenue of The Champions, Palm Beach Gardens, FL 33418 2016-11-19
1417403221 Ahava-5772, LLC Chiropractor 5540 Pga Boulevard, Suite 100, Palm Beach Gardens, FL 33418 2016-08-31
Find all providers in zip 33418

Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518278175 Melissa Houss Marks Plastic Surgery 3345 Burns Rd Ste 101, Palm Beach Gardens, FL 33410 2010-06-29
1699884510 Mark Alan Pinsky Plastic Surgery 11020 Rca Center Dr, Suite 2010, Palm Beach Gardens, FL 33410-4277 2006-08-30
1205897519 Arturo K Guiloff Plastic Surgery 2865 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2910 2006-03-29
1508394990 Signature Plastic & Reconstructive Surgery, Pllc Plastic Surgery 3345 Burns Rd Ste 101, Palm Beach Gardens, FL 33410-4304 2017-05-30
1740738632 David A Lickstein Md LLC Plastic Surgery 5540 Pga Blvd, Suite 200, Palm Beach Gardens, FL 33418-3987 2016-09-20
1548502396 Vincent Alan Chavanon Plastic Surgery 11020 Rca Center Dr Ste 2010, Palm Beach Gardens, FL 33410-4277 2013-03-20
1295968469 Brian E Hass Md Pa Plastic Surgery 2401 Pga Blvd, Suite 150, Palm Beach Gardens, FL 33410-3590 2009-09-03
1497816169 Gregory Scott Delange Plastic Surgery 2865 Pga Blvd, Palm Beach Gardens, FL 33410-2910 2006-12-13
1235248162 Gardens Plastic Surgery Plastic Surgery 11020 Rca Center Dr, Suite 2010, Palm Beach Gardens, FL 33410-4277 2006-08-30
1780606665 Atlantic Coast Plastic Surgery, Pa Plastic Surgery 3345 Burns Rd, Suite 206, Palm Beach Gardens, FL 33410-4324 2006-07-23
Find all providers in PALM BEACH GARDENS

Competitor

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City PALM BEACH GARDENS
Zip Code 33418

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Dataset Information

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.

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