JEFFREY GALITZ (NPI# 1861485112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861485112 |
| Entity Type | Individual |
| Full Name | JEFFREY GALITZ |
| Credential | MD |
| Practice Address |
200 S Park Rd Ste 200 Hollywood FL 33021-8541 |
| Practice Telephone | 9549237440 |
| Practice Fax Number | 9549231299 |
| Mailing Telephone | 9549237440 |
| Mailing Fax Number | 9549231299 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2019-05-09 |
| NPI Deactivation Date | 03/27/2006 |
| NPI Reactivation Date | 2006-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME49450 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 46035 | AZ | Allopathic & Osteopathic Physicians |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO1983 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 064279701 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10184 E Sunnyside Dr, Scottsdale, AZ 852605906 | 9549237440 | 9549231299 |
| 11811 N Tatum Blvd Ste 1075, Phoenix, AZ 850281661 | 9549237440 | 9549231299 |
| Street Address |
200 S PARK RD STE 200 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-8541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038592 | Woundtech of Louisiana, Inc | General Practice | 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 | 2020-09-21 |
| 1821618356 | Moraima Rodriguez | Nurse Practitioner | 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 | 2020-04-24 |
| 1457998122 | Nelly M Padfield | General Practice | 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 | 2019-12-02 |
| 1720624372 | Nordian Shanae Brown | Nurse Practitioner | 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 | 2019-11-19 |
| 1164984449 | Nafeesa Bhanji | Nurse Practitioner | 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 | 2019-04-04 |
| 1770036725 | Christina Houston | Nurse Practitioner | 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 | 2016-07-26 |
| 1043588189 | Lauren Karger | Podiatrist | 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 | 2011-12-04 |
| 1013195643 | Christine M Browne | Nurse Practitioner | 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 | 2008-02-06 |
| 1962601393 | Wound Technology Network Inc | Podiatrist | 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232522 | Buen Pastor Medical Center, Inc. | General Practice | 4400 Sheridan St Ste C, Hollywood, FL 33021-3514 | 2020-07-22 |
| 1639734148 | Management Care LLC | General Practice | 7900 Nw 33rd St Ste 103, Hollywood, FL 33024-2209 | 2019-05-09 |
| 1730671504 | Rafael Torres | General Practice | 1915 Monroe St Apt 15, Hollywood, FL 33020-7700 | 2018-06-06 |
| 1003311051 | David Lee Arnold | General Practice | 1701 Fletcher St, Hollywood, FL 33020-6538 | 2018-03-29 |
| 1528468956 | Centro Medico Familiar Buen Pastor Pharmacy | General Practice | 4440 Sheridan St Ste C, Hollywood, FL 33021-3535 | 2014-09-04 |
| 1255741088 | Bonne Medical Center, Inc. | General Practice | 5928 Sheridan St Ste A, Hollywood, FL 33021 | 2014-05-01 |
| 1518388503 | Marc Joseph | General Practice | 2629 Funston St, Hollywood, FL 33020-5727 | 2013-12-18 |
| 1972871937 | Carevantage Medical Centers of Broward At Sterling Road,llc | General Practice | 2536 N State Road 7, Hollywood, FL 33021-3205 | 2011-12-06 |
| 1639379761 | Gabriel Gregorio Florez | General Practice | 4440 Sheridan St, Suite C, Hollywood, FL 33021 | 2007-07-18 |
| 1174697288 | William H Hayling | General Practice | 3301 Barham Blvd Ste 400, Hollywood, CA 90068-1477 | 2006-11-20 |
| Find all providers in HOLLYWOOD | ||||
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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.