Dan Ilkovitch (NPI# 1447512827, PAC ID# 4587971031) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1447512827 |
| PAC ID by PECOS | 4587971031 |
| Professional Enrollment ID | I20150915003079 |
| Full Name | Dan Ilkovitch |
| Organization Legal Name | CLEARLY DERM, LLC |
| Address |
2320 Ne 62nd St Fort Lauderdale FL 33308-2208 |
| Phone Number | 9545003376 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2163694423 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2320 Ne 62nd St, Fort Lauderdale, FL 33308-2208 | 9545003376 | CLEARLY DERM, LLC |
| Organization Legal Name | CLEARLY DERM, LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison B Sammons | Nurse Practitioner | Clearly Derm, LLC | 2320 Ne 62nd St, Fort Lauderdale, FL 33308-2208 |
| Angela Giancola Weatherall | Dermatology | Clearly Derm, LLC | 1760 N Congress Ave, Suite 200, Boynton Beach, FL 33426-8216 |
| Lindsay Nardi | Physician Assistant | Clearly Derm, LLC | 1760 N Congress Ave, Suite 200, Boynton Beach, FL 33426-8216 |
| Jodi Arnold-burkholz | Physician Assistant | Clearly Derm, LLC | 1760 N Congress Ave, Suite 200, Boynton Beach, FL 33426-8216 |
| Meredith M Hancock | Dermatology | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Suite 30, Boca Raton, FL 33433-3463 |
| Erika L Luceri | Physician Assistant | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 |
| Tobi B Richman | Dermatology | Clearly Derm, LLC | 690 Meadows Rd, Fl 1, Boca Raton, FL 33486-2344 |
| Elizabeth A. Simon | Physician Assistant | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 |
| Sasha M Chediak | Dermatology | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 |
| Andrew R Styperek | Dermatology | Clearly Derm, LLC | 7050 W Palmetto Park Rd, Boca Raton, FL 33433-3463 |
| Street Address |
2320 NE 62ND ST |
| City | FORT LAUDERDALE |
| State | FL |
| Zip | 33308-2208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison B Sammons | Nurse Practitioner | Clearly Derm, LLC | 2320 Ne 62nd St, Fort Lauderdale, FL 33308-2208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Elias | Dermatology | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Edward M Coopersmith | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Adam Lipman | Orthopedic Surgery | Kevin J Kessler Md Pa | 4800 N Federal Hwy, 3rd Floor, Ft Lauderdale, FL 33308 |
| Tatum Erin Nolan | Physician Assistant | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Robert Thompson | Emergency Medicine | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Louis M Lit | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Holy Cross Hospital, Fort Lauderdale, FL 33308 |
| Merrick D Elias | Dermatology | Elias Dermatology LLC | 4610 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Leslie Ettlinger | Physical Therapy | Kevin J Kessler Md Pa | 4800 N Federal Hwy, 3rd Floor, Ft Lauderdale, FL 33308 |
| Stasha Novakovic | Pulmonary Disease | Lauderdale Critical Care Services LLC | 4725 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Newsha Lajevardi | Dermatology | Roger H Stewart Md Pa | 6550 N Federal Hwy, Suite 320, Ft Lauderdale, FL 33308-1400 |
| Find all physicians in zip 33308 | |||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
| Specialty | DERMATOLOGY |
| City + Specialty | FORT LAUDERDALE + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.