Dr Dov Pickholtz DO PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS12425 Issued in FL

Legal business name

DR DOV PICKHOLTZ DO PA

Practice address

7964 Little LN
Boca Raton, FL 33433-4146

Phone

(561) 450-9933

Fax

(561) 450-9934

NPI assigned

Sep 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dov Alexander Pickholtz, DO

Title

Owner

Phone

(561) 450-9933

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1194194480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7964 LITTLE LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334146",
            "telephone_number": "561-450-9933",
            "fax_number": "561-450-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7964 LITTLE LN",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334334146",
            "telephone_number": "561-450-9933",
            "fax_number": "561-450-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DOV PICKHOLTZ DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "PICKHOLTZ",
        "authorized_official_first_name": "DOV",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-450-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENCE",
            "identifier": "OS12425",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.