LEAF IT UP MEDSPA,LLC (NPI# 1003159963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003159963 |
| Entity Type | Organization |
| Organization Name | LEAF IT UP MEDSPA,LLC |
| Practice Address |
1000 N Broadwalk Ste 1 Hollywood FL 33019-1221 |
| Practice Telephone | 9543919869 |
| Practice Fax Number | 9545736505 |
| Mailing Telephone | 9543919869 |
| Mailing Fax Number | 9545736505 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |
| Authorized Official Name | DR. IVEL CRISTINA DE FREITAS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9543919869 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME107216 | FL | Other Service Providers |
| Street Address |
1000 N BROADWALK STE 1 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33019-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669868469 | Francine Safdeye | Occupational Therapist | 1201 S Ocean Dr. #1102s, Hollywood, FL 33019 | 2015-04-09 |
| 1932507217 | Alina Benin | Chiropractor | 2201 S. Ocean Dr. #801, Hollywood, FL 33019 | 2014-12-18 |
| 1568745610 | Ali Farrokhi | Dentist | 3000 S. Ocean Dr, Apt. # 1204, Hollywood, FL 33019 | 2011-09-26 |
| 1063706356 | Ann E Bivona | Registered Nurse | 3725 South Ocean Drive #1612, Hollywood, FL 33019 | 2011-06-03 |
| 1114180593 | Jeffrey A Levy Md Inc | Internal Medicine | 1600 Diplomat Parkway, Hollywood, FL 33019 | 2008-07-07 |
| 1700063443 | Wendy Gentile Sosa | Contractor | 3505 S. Ocean Drive, 1209, Hollywood, FL 33019 | 2008-01-24 |
| 1366598294 | Eduard Kaplan | Specialist/Technologist, Other | 1571 Yello Heart Way, Hollywood, FL 33019 | 2007-01-25 |
| 1235236712 | Florida Family Options, Inc. | Marriage & Family Therapist | 2101 S. Ocean Drive, Suite 2103, Hollywood, FL 33019 | 2006-09-19 |
| 1003919424 | Jessica L. Vera | Counselor | 1060 Oysterwood St, Hollywood, FL 33019 | 2006-09-07 |
| 1568428266 | Steven Magilen | Surgery | 3800 S Ocean Dr Ste 209, Hollywood, FL 33019 | 2006-04-22 |
| Find all providers in zip 33019 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205321809 | Custom Crowns | Specialist | 5202 Plunkett St, Hollywood, FL 33021-8023 | 2018-06-26 |
| 1225443559 | Devora Hurwitz | Specialist | 3007 Bogota Ave, Hollywood, FL 33026-4509 | 2014-06-25 |
| 1306114285 | Regional Imaging Inc | Specialist | 10786 Charleston Pl, Hollywood, FL 33026-4906 | 2011-12-07 |
| 1720376734 | Early Stages for Early Ages Inc. | Specialist | 203 Sw 85th Terr. Apt. 306, Hollywood, FL 33025 | 2011-07-12 |
| 1184936502 | Adelheid C. Reinoso Md, Pa | Specialist | 3700 Washinton Street, Suite 202, Hollywood, FL 33021-8249 | 2010-07-14 |
| 1922327832 | Andrea Hamilton | Specialist | 7986 Highway 162, Hollywood, SC 29449-5607 | 2010-05-18 |
| 1043538853 | Rosa Guzman | Specialist | 3837 Hollywood Blvd Ste B, Hollywood, FL 33021-1243 | 2010-05-04 |
| 1053577403 | Diane Elizabeth Reynolds | Specialist | 1714 Taft St, Hollywood, FL 33020-2836 | 2008-08-05 |
| 1306019823 | Lorena Lewy-altebaum, Md | Specialist | 3700 Washington St Ste 400, Hollywood, FL 33021-8289 | 2008-04-04 |
| 1770753352 | Alexandre S. Lopes | Specialist | 1501 Van Buren St, Hollywood, FL 33020-5256 | 2008-03-10 |
| 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.