SOUTH PALM BEACH SURGICAL ASSOCIATES, PL (NPI# 1750662912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750662912 |
| Entity Type | Organization |
| Organization Name | SOUTH PALM BEACH SURGICAL ASSOCIATES, PL |
| Practice Address |
1601 Clint Moore Rd Suite 145 Boca Raton FL 33487-2768 |
| Practice Telephone | 5619390455 |
| Practice Fax Number | 5619395460 |
| Mailing Telephone | 5619390455 |
| Mailing Fax Number | 5619395460 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |
| Authorized Official Name | DR. JONATHAN WIDEROFF (OWNER) |
| Authorized Official Telephone | 5619390455 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME35997 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1601 CLINT MOORE RD SUITE 145 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33487-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538944 | Jeremy S Breit | Internal Medicine | 1601 Clint Moore Rd, Suite 100, Boca Raton, FL 33487-2768 | 2005-06-17 |
| 1952876070 | Leslie Aston Wattkis | Nurse Practitioner | 1601 Clint Moore Rd, Boca Raton, FL 33487-2768 | 2018-10-04 |
| 1124578331 | Gabriel Johnson | Physician Assistant | 1601 Clint Moore Rd, Suite 155, Boca Raton, FL 33487-2768 | 2016-10-12 |
| 1912456963 | Internal Medicine Associates Snf LLC | Internal Medicine | 1601 Clint Moore Rd, Suite 200-2, Boca Raton, FL 33487-2768 | 2016-09-30 |
| 1710336797 | Docs On Call LLC | Internal Medicine | 1601 Clint Moore Rd, Suite 115 B, Boca Raton, FL 33487-2768 | 2016-06-09 |
| 1891156857 | Ashley Bowles | Podiatrist | 1601 Clint Moore Rd, Suite 130, Boca Raton, FL 33487-2768 | 2016-03-17 |
| 1912378829 | Gila R Weinstein Md LLC | Plastic Surgery | 1601 Clint Moore Rd, Suite 145, Boca Raton, FL 33487-2768 | 2015-10-19 |
| 1932578879 | 21st Century Oncology LLC | Pathology | 1601 Clint Moore Rd, Suite 180, Boca Raton, FL 33487-2768 | 2015-09-22 |
| 1770951055 | 21st Century Oncology LLC | Urology | 1601 Clint Moore Rd, Suite 195, Boca Raton, FL 33487-2768 | 2015-09-03 |
| 1962886408 | Lindsey Martin | Audiologist | 1601 Clint Moore Rd, Suite 105, Boca Raton, FL 33487-2768 | 2015-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261741 | Kendall Hackenberg | Nurse Practitioner | 810 Nw 82nd Pl, Boca Raton, FL 33487 | 2020-07-01 |
| 1275187015 | Trusted Home Care Agency | Home Health | 1200 S. Rogers Circle, Suite #4, Boca Raton, FL 33487 | 2019-07-30 |
| 1972064475 | West Palm Beac Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 902 Clint Moore Road, Ste 144, Boca Raton, FL 33487 | 2019-03-27 |
| 1386153807 | Michael Christopher Angelillo | Internal Medicine | 1601 Clint Moore Rd Ste 115, Boca Raton, FL 33487 | 2017-09-27 |
| 1942729645 | Ronald Falk | Chiropractor | 6201 N Federal Hwy #5-6, Boca Raton, FL 33487 | 2017-09-13 |
| 1205292653 | Abigail Goodwin Sladek | Nurse Practitioner | 902 Clint Moore Rd # 227, Boca Raton, FL 33487 | 2016-01-14 |
| 1538539879 | Nancy Gonzalez | Dental Hygienist | 904 Clint Moore Rd, Boca Raton, FL 33487 | 2015-09-29 |
| 1083090138 | John Hooper Griscom | Internal Medicine | 3752 Mykonos Court, Boca Raton, FL 33487 | 2015-07-30 |
| 1144600321 | Hear Again LLC | Audiologist-Hearing Aid Fitter | 851 Broken Sound Pkwy Nw Ste 120, Boca Raton, FL 33487 | 2015-06-03 |
| 1457759193 | Element Lab Partners, LLC | Clinical Medical Laboratory | 1101 Holland Dr., Ste. 30, Boca Raton, FL 33487 | 2014-12-11 |
| Find all providers in zip 33487 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288203 | Samuel Joseph | Surgery | 22730 Sw 55th Ave, Boca Raton, FL 33433-6258 | 2020-05-29 |
| 1245736404 | Fred Nazeh Qafiti | Surgery | 777 Glades Rd # Bc-71, Boca Raton, FL 33431 | 2018-04-04 |
| 1336674365 | Nhean Dawance Chea | Surgery | 4800 T Rex Ave Ste 200, Boca Raton, FL 33431-4479 | 2017-04-27 |
| 1689041162 | She Wong Md Pa | Surgery | 1558 Nw 48th Pl, Boca Raton, FL 33431-3339 | 2015-08-31 |
| 1932403334 | Roger Newman | Surgery | 11737 Bayfield Dr, Boca Raton, FL 33498-6205 | 2010-12-29 |
| 1265689376 | Alan J. Bauman | Surgery | 6861 Sw 18th St, Suite 102, Boca Raton, FL 33433-7099 | 2008-08-20 |
| 1164687893 | Avraham Belizon | Surgery | 670 Glades Road, Suite #300, Boca Raton, FL 33431-6464 | 2008-07-22 |
| 1548454317 | Scott Meisel | Surgery | 1900 Glades Rd Ste 100, Boca Raton, FL 33431-7333 | 2007-09-05 |
| 1770612855 | Jorge Gaviria | Surgery | 2500 N Military Trl Ste 111, Boca Raton, FL 33431-6305 | 2007-03-05 |
| 1356413538 | Mitchell F Matez | Surgery | 7300 N Federal Hwy, Suite #100, Boca Raton, FL 33487 | 2006-11-14 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33487 |
Please comment or provide details below to improve the information on SOUTH PALM BEACH SURGICAL ASSOCIATES, PL.
| 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.