KRAVITZ PHYSICIAN SERVICES, P.A. (NPI# 1013375062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013375062 |
| Entity Type | Organization |
| Organization Name | KRAVITZ PHYSICIAN SERVICES, P.A. |
| Practice Address |
5150 Nw 82nd Ter Coral Springs FL 33067-2811 |
| Practice Telephone | 7547025348 |
| Practice Fax Number | 9547552830 |
| Mailing Telephone | 7547025348 |
| Mailing Fax Number | 9547552830 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |
| Authorized Official Name | DR. JACK ALLAN KRAVITZ (PRESIDENT) |
| Authorized Official Telephone | 7547025348 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
ME41286 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
5150 NW 82ND TER |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33067-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487822 | Amy Caplan Demner | Counselor | 5571 University Drive, Suite 101, Coral Springs, FL 33067 | 2019-10-06 |
| 1548825508 | Stacie Boyar | Counselor | 5941 N University Drive, Coral Springs, FL 33067 | 2019-05-06 |
| 1356818587 | National Vision Inc | Technician/Technologist | 6357 West Sample Road, Coral Springs, FL 33067 | 2018-10-25 |
| 1316423544 | R & S Dme Services, LLC | Durable Medical Equipment & Medical Supplies | 7551 Wiles Road, 103, Coral Springs, FL 33067 | 2018-07-11 |
| 1740787068 | Cleveland Clinic Florida (a Nonprofit Corporation) | Clinic/Center | 5701 North University Drive, Coral Springs, FL 33067 | 2018-04-12 |
| 1922500966 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5280 West Sample Road, Suite 203, Coral Springs, FL 33067 | 2018-03-06 |
| 1518481829 | Alissa Diaz | Pharmacist | 8360 Nw 51st Ct, Coral Springs, FL 33067 | 2017-07-28 |
| 1396267100 | Coral Springs Modern Dentistry, Pa | Dentist | 5810 Wiles Rd, Coral Springs, FL 33067 | 2017-07-13 |
| 1528595766 | Farahnaz Abdoly | Optometrist | 6357 W Sample Rd, Coral Springs, FL 33067 | 2017-05-18 |
| 1164894903 | Mar Christian Amoroso Panambo | Physical Therapist | 5900 West Sample Rd, 304, Coral Springs, FL 33067 | 2015-10-20 |
| Find all providers in zip 33067 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144345695 | Manuel Antonio Robles | Family Medicine | 4331 Nw 101st Dr, Coral Springs, FL 33065-6605 | 2007-03-20 |
| 1225123482 | Lawrence E. Dorf | Family Medicine | 4981 Nw 102nd Dr, Coral Springs, FL 33076-1704 | 2006-10-04 |
| 1932187226 | Joseph Robert Mannino Jr. | Family Medicine | 4955 Nw 82nd Ter, Coral Springs, FL 33067-2814 | 2006-01-06 |
| 1558618488 | Adult & Geriatric Center of South Florida, LLC | Family Medicine | 2901 Coral Hills Dr, Suite 360, Coral Springs, FL 33065-4146 | 2012-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620618 | Heather J Cappello LLC | Family Medicine | 2571 Dick Wilson Dr, Sarasota, FL 34240-8722 | 2020-02-10 |
| 1225682784 | Brevard Geriatrics, LLC | Family Medicine | 720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474 | 2019-08-01 |
| 1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1184137929 | Saint George Medical Center Inc | Family Medicine | 1118 Hospital Rd, Fort Walton Beach, FL 32547-6742 | 2017-11-15 |
| 1750835211 | Gainesville Geriatric Rehabilitation Medicine LLC | Family Medicine | 5002 Nw 15th Pl, Gainesville, FL 32605-4555 | 2016-08-12 |
| 1033570171 | Reliance Med, LLC | Family Medicine | 8450 Reymont St, Orlando, FL 32827-7430 | 2016-03-17 |
| 1972968089 | Wm R George II Md Pa | Family Medicine | 327 Plaza Real Ste 307, Boca Raton, FL 33432-3944 | 2015-12-17 |
| 1710369020 | Robert N. Baskin, Md, P.a. | Family Medicine | 2108 N Golfview Dr, Plant City, FL 33566-6768 | 2015-06-23 |
| 1437557766 | Geriatric Care Associates LLC | Family Medicine | 10238 Sw 86th Cir, Suite 300, Ocala, FL 34481-7626 | 2014-12-18 |
| Find all providers with the same taxonomy | ||||
| City | CORAL SPRINGS |
| Zip Code | 33067 |
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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.