INTEGRATED DERMATOLOGY OF GLADES ROAD, LLC (NPI# 1841642014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841642014 |
| Entity Type | Organization |
| Organization Name | INTEGRATED DERMATOLOGY OF GLADES ROAD, LLC |
| Practice Address |
1050 Nw 15th St Ste 201a Boca Raton FL 33486-1375 |
| Mailing Address |
4700 Exchange Ct Ste 110 Boca Raton FL 33431-4450 |
| Practice Telephone | 5613684545 |
| Practice Fax Number | 5613684041 |
| Mailing Telephone | 5613142000 |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | JEFFREY FROMOWITZ (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 5613142000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
1050 NW 15TH ST STE 201A |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33486-1375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265420848 | Arnold Steven Falchook | Internal Medicine | 1050 Nw 15th St, Suite 106a, Boca Raton, FL 33486-1375 | 2005-10-08 |
| 1033652086 | Sd Services LLC | Chiropractor | 1050 Nw 15th St, Suite 102a, Boca Raton, FL 33486-1375 | 2016-11-23 |
| 1891166591 | Pamela Feldman, Phd LLC | Psychologist | 1050 Nw 15th St, Suite 216a, Boca Raton, FL 33486-1375 | 2015-10-07 |
| 1225404759 | Kain & Associates, Pl | Clinic/Center | 1050 Nw 15th St, Suite 207a, Boca Raton, FL 33486-1375 | 2015-08-19 |
| 1336525112 | Reda A. Abdel-fattah & Mervat M. Alattar | Dentist | 1050 Nw 15th St, Suite 211a, Boca Raton, FL 33486-1375 | 2015-08-04 |
| 1780093963 | Magda Reda Abdelfattah | Dentist | 1050 Nw 15th St, Suite 211a, Boca Raton, FL 33486-1375 | 2014-08-12 |
| 1477982189 | Sarah Marks Siciliano-hartt | Psychologist | 1050 Nw 15th St, Suite 111-a, Boca Raton, FL 33486-1375 | 2013-11-03 |
| 1013261627 | Gjorgji Trnovski Md Pa | Internal Medicine | 1050 Nw 15th St, Suite 215a, Boca Raton, FL 33486-1375 | 2012-11-05 |
| 1144513045 | Dawn Davanzo Md Pa | Internal Medicine | 1050 Nw 15th St, Suite 103a, Boca Raton, FL 33486-1375 | 2011-05-25 |
| 1841597002 | Florida Woman Care, LLC | Obstetrics & Gynecology | 1050 Nw 15th St, Boca Raton, FL 33486-1341 | 2011-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1235699547 | Ron N/a Goldwaser | Occupational Therapist | Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 | 2019-03-22 |
| 1982105516 | Noa Rivka Schwartz | Registered Nurse | 801 Meadows Rd Ste 120, Boca Raton, FL 33486 | 2018-02-28 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| 1285160440 | Mary Lauderdale | Developmental Therapist | 836 Sw 9th St Circle, Boca Raton, FL 33486 | 2017-05-10 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1528504354 | Megan M Lucas | Physician Assistant | 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 | 2017-01-18 |
| 1962864280 | Annmarie Diazhernandez | Nurse Practitioner | 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 | 2016-03-25 |
| 1689071078 | Djurdja Andrich | Nurse Practitioner | 1500 Nw 10th Ave #205, Boca Raton, FL 33486 | 2014-12-01 |
| Find all providers in zip 33486 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
| 1770144123 | Mobile Dermatology Care Pllc | Dermatology | 4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450 | 2019-06-26 |
| 1790171353 | Eric Rudnick | Dermatology | 22029 State Road 7 Ste 1, Boca Raton, FL 33428-4200 | 2015-04-10 |
| 1649616970 | Moum Dermatology LLC | Dermatology | 445 S Federal Hwy, Boca Raton, FL 33432-6027 | 2013-05-14 |
| 1114361235 | Dermpartners Inc | Dermatology | 21020 State Rd 7, Suite 120, Boca Raton, FL 33428 | 2013-04-19 |
| 1831410315 | Kenneth Jon Folsom | Dermatology | 3902 Nw 23rd Ct, Boca Raton, FL 33431-5446 | 2010-06-18 |
| 1588810808 | Lloyd George Wickboldt | Dermatology | 6630 Patio Ln, Boca Raton, FL 33433-6631 | 2008-08-18 |
| 1417115304 | Channing Rachel Barnett | Dermatology | 7100 W Camino Real Ste 301, Boca Raton, FL 33433-5510 | 2008-05-28 |
| 1164626545 | Patricia Sara Klem | Dermatology | 1905 Clint Moore Rd. Ste. 103, Advanced Dermatology, Boca Raton, FL 33496 | 2007-06-12 |
| 1255545547 | John Alan Kulick | Dermatology | 22804 Marbella Circle, Boca Raton, FL 33433-3802 | 2007-05-09 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33486 |
Please comment or provide details below to improve the information on INTEGRATED DERMATOLOGY OF GLADES ROAD, LLC.
| 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.