Dissick Medical Associates,PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DISSICK MEDICAL ASSOCIATES,PA

Practice address

7301A Palmetto Park Road
Suite 301a
Boca Raton, FL 33433

Phone

(561) 672-7950

Fax

(561) 672-7953

NPI assigned

Mar 18, 2011

Last updated

Apr 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Addie Dissick

Title

Owner

Phone

(561) 672-7950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1245539071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301A PALMETTO PARK ROAD",
            "address_2": "SUITE 301A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-672-7950",
            "fax_number": "561-672-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301A PALMETTO PARK ROAD",
            "address_2": "SUITE 301A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-672-7950",
            "fax_number": "561-672-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISSICK MEDICAL ASSOCIATES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "DISSICK",
        "authorized_official_first_name": "ADDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-672-7950",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Director, M.S., CCC-SLP
• Abigail Araceli Disbury
• Grant I Disick, MD
• John A Disilvestro, MD
• Kyle Mitchel Disney
• Ofrana Distefano, MS CCC SLP
• Stenin Distler
• District Clinic Holdings Inc (C.L. Brumback Primary Care Clinics)
• District Clinic Holdings Inc
• Crystal Dixon, M.D.

• 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 Apr 5, 2011; 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.