BROWARD PODIATRY ASSOCIATES, PA (NPI# 1003133489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003133489 |
| Entity Type | Organization |
| Organization Name | BROWARD PODIATRY ASSOCIATES, PA |
| Practice Address |
3816 Hollywood Blvd Suite 206 Hollywood FL 33021-6750 |
| Practice Telephone | 9549870550 |
| Practice Fax Number | 9549870553 |
| Mailing Telephone | 9549870550 |
| Mailing Fax Number | 9549870553 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |
| Authorized Official Name | DR. GEORGE F. JACOBSON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9549870550 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
PO1504 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340172300 | 05 |
| Street Address |
3816 HOLLYWOOD BLVD SUITE 206 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-6750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082017 | George Franklin Jacobson | Podiatrist | 3816 Hollywood Blvd, Suite 206, Hollywood, FL 33021-6750 | 2005-09-02 |
| 1689075699 | Medical Care Hospitalist LLC | Hospitalist | 3816 Hollywood Blvd, Suite 102, Hollywood, FL 33021-6750 | 2014-09-09 |
| 1821425935 | Therapeutic Harmony LLC | Counselor | 3816 Hollywood Blvd, Ste 102, Hollywood, FL 33021-6750 | 2013-10-03 |
| 1932485224 | Continuum Medical Group Inc | Specialist | 3816 Hollywood Blvd, Unit 102, Hollywood, FL 33021-6750 | 2011-10-31 |
| 1518285030 | Gary L Goldfaden Md Pa | Dermatology | 3816 Hollywood Blvd, Suite 205, Hollywood, FL 33021-6750 | 2010-05-07 |
| 1215160445 | Leavitt Medical Associates of Florida Inc | Dermatology | 3816 Hollywood Blvd, Suite 205, Hollywood, FL 33021-6750 | 2009-09-04 |
| 1427291640 | Randesha Marvaeauna Robinson | Massage Therapist | 3816 Hollywood Blvd, Suite# 102, Hollywood, FL 33021-6750 | 2009-04-17 |
| 1043490584 | Allan Rubin Do Pa | Ophthalmology | 3816 Hollywood Blvd, Ste 101, Hollywood, FL 33021 | 2007-11-13 |
| 1003007014 | Delray Family Practice Inc | General Practice | 3816 Hollywood Blvd, Suite 102, Hollywood, FL 33021-6750 | 2007-08-05 |
| 1437355112 | Wise Ophthalmology Group, P.a. | Specialist | 3816 Hollywood Blvd, Ste 101, Hollywood, FL 33021-6750 | 2007-06-21 |
| Find all providers in the same location | ||||
| 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 | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912531286 | Samuel S Woociker Dpm Pa | Podiatrist | 445 Warrior Trl, Enterprise, FL 32725-2456 | 2020-02-26 |
| 1467090639 | Ankle Foot and Leg Centers Inc. | Podiatrist | 3075 Chestnut Ridge Way, Orange Park, FL 32065-3629 | 2019-12-18 |
| 1396205423 | Scott Jeffry Blutstein | Podiatrist | 10578 Sw Capraia Way, Port St Lucie, FL 34986-2885 | 2019-03-24 |
| 1265968929 | Northeast Florida Endocrine & Diabetes Associates, Pa | Podiatrist | 11236 Baptist Health Dr, Suite 340, Jacksonville, FL 32218-2980 | 2017-05-02 |
| 1184163784 | Patrick Dennis Martyka | Podiatrist | 4631 Nw 5th Ave, Oakland Park, FL 33309-4002 | 2017-02-15 |
| 1700237799 | Rebecca Desimone | Podiatrist | 6405 N Federal Hwy Ste 405, Ft Lauderdale, FL 33308-1414 | 2016-06-30 |
| 1326403585 | Gentle Care Podiatry, LLC | Podiatrist | 8450 Gate Pkwy W, Unit 1504, Jacksonville, FL 32216-1049 | 2015-12-15 |
| 1528441904 | Zain Barnouti | Podiatrist | 9310 Old Kings S Rd 1201, Jacksonville, FL 32257-6196 | 2015-07-03 |
| 1790188514 | George Zislis | Podiatrist | 1300 Moffett St Apt 201, Hallandale Beach, FL 33009-2718 | 2014-10-07 |
| 1639411648 | Robert George Smith | Podiatrist | 723 Lucerne Cir, Ormond Beach, FL 32174-4624 | 2013-03-18 |
| Find all providers with the same taxonomy | ||||
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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.