DAVID A LICKSTEIN MD LLC (NPI# 1740738632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740738632 |
| Entity Type | Organization |
| Organization Name | DAVID A LICKSTEIN MD LLC |
| Practice Address |
5540 Pga Blvd Suite 200 Palm Beach Gardens FL 33418-3987 |
| Practice Telephone | 5618470970 |
| Practice Fax Number | 5615088890 |
| Mailing Telephone | 5615714000 |
| Mailing Fax Number | 5615088890 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | DAVID ALAN LICKSTEIN (OWNER) |
| Authorized Official Telephone | 5615714000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | ME84765 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
5540 PGA BLVD SUITE 200 |
| City | PALM BEACH GARDENS |
| State | FL |
| Zip Code | 33418-3987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770563918 | Michelle Brooke Mowry | Nurse Practitioner | 5540 Pga Blvd, Palm Beach Gardens, FL 33418-3987 | 2006-01-21 |
| 1396208278 | Shane Hottin | Hearing Instrument Specialist | 5540 Pga Blvd, Palm Beach Gardens, FL 33418-3987 | 2019-04-09 |
| 1962873356 | Kelly Greene | Hearing Instrument Specialist | 5540 Pga Blvd, Suite 102, Palm Beach Gardens, FL 33418-3987 | 2015-10-12 |
| 1275642183 | David Alan Lickstein | Plastic Surgery | 5540 Pga Blvd, Suite 200, Palm Beach Gardens, FL 33418-3987 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031447 | Jorge Wilfrido Avila | Psychiatry & Neurology | 118 Emerald Key Ln., Palm Beach Gardens, FL 33418 | 2020-10-20 |
| 1518438852 | Jessica E Harrison, Lcsw | Clinic/Center | 900 East Indiantown Road, 310, Palm Beach Gardens, FL 33418 | 2018-12-16 |
| 1275000879 | Dentists of Palm Beach Gardens, Pa | Dentist | 5380 Donald Ross, Rd., Suite 100, Palm Beach Gardens, FL 33418 | 2018-11-01 |
| 1861979932 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5410 Donald Ross Rd, Palm Beach Gardens, FL 33418 | 2018-07-23 |
| 1194240150 | Private Home Care LLC | Home Health | 5211 Celery Ln, Palm Beach Gardens, FL 33418 | 2017-08-10 |
| 1053836791 | Ashley Mooney | Pharmacist | 6251 Ave of The Pga, Palm Beach Gardens, FL 33418 | 2017-08-03 |
| 1063950343 | Spinal Motion Diagnostics Fort Lauderdale LLC | Clinic/Center | 8435 Man O War Road, Palm Beach Gardens, FL 33418 | 2017-02-07 |
| 1588108823 | Fernando Javier Rodriguez | Pharmacist | 290 Woodbine Way, Apt 215, Riviera Beach, FL 33418 | 2016-12-06 |
| 1811430036 | Lauren Alexandra Kratofil | Physical Therapist | 300 Avenue of The Champions, Palm Beach Gardens, FL 33418 | 2016-11-19 |
| 1417403221 | Ahava-5772, LLC | Chiropractor | 5540 Pga Boulevard, Suite 100, Palm Beach Gardens, FL 33418 | 2016-08-31 |
| Find all providers in zip 33418 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518278175 | Melissa Houss Marks | Plastic Surgery | 3345 Burns Rd Ste 101, Palm Beach Gardens, FL 33410 | 2010-06-29 |
| 1699884510 | Mark Alan Pinsky | Plastic Surgery | 11020 Rca Center Dr, Suite 2010, Palm Beach Gardens, FL 33410-4277 | 2006-08-30 |
| 1205897519 | Arturo K Guiloff | Plastic Surgery | 2865 Pga Blvd, Suite 100, Palm Beach Gardens, FL 33410-2910 | 2006-03-29 |
| 1508394990 | Signature Plastic & Reconstructive Surgery, Pllc | Plastic Surgery | 3345 Burns Rd Ste 101, Palm Beach Gardens, FL 33410-4304 | 2017-05-30 |
| 1548502396 | Vincent Alan Chavanon | Plastic Surgery | 11020 Rca Center Dr Ste 2010, Palm Beach Gardens, FL 33410-4277 | 2013-03-20 |
| 1295968469 | Brian E Hass Md Pa | Plastic Surgery | 2401 Pga Blvd, Suite 150, Palm Beach Gardens, FL 33410-3590 | 2009-09-03 |
| 1497816169 | Gregory Scott Delange | Plastic Surgery | 2865 Pga Blvd, Palm Beach Gardens, FL 33410-2910 | 2006-12-13 |
| 1275642183 | David Alan Lickstein | Plastic Surgery | 5540 Pga Blvd, Suite 200, Palm Beach Gardens, FL 33418-3987 | 2006-08-30 |
| 1235248162 | Gardens Plastic Surgery | Plastic Surgery | 11020 Rca Center Dr, Suite 2010, Palm Beach Gardens, FL 33410-4277 | 2006-08-30 |
| 1780606665 | Atlantic Coast Plastic Surgery, Pa | Plastic Surgery | 3345 Burns Rd, Suite 206, Palm Beach Gardens, FL 33410-4324 | 2006-07-23 |
| Find all providers in PALM BEACH GARDENS | ||||
| City | PALM BEACH GARDENS |
| Zip Code | 33418 |
Please comment or provide details below to improve the information on DAVID A LICKSTEIN MD LLC.
| 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.