Galt Dermatology & Concierge Medicine PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME36538 Issued in FL

Legal business name

GALT DERMATOLOGY & CONCIERGE MEDICINE PA

Practice address

800 E Broward Blvd
Suite 103
Fort Lauderdale, FL 33301-2008

Phone

(954) 463-5406

Fax

(954) 522-2456

NPI assigned

Aug 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Miguel Villacorta, DONPI 1811442668

Title

President

Phone

(954) 463-5406

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Galt Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miguel Villacorta, D.O., MPH

  • Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1811442668
  Medicare reassignment NPD Authorized official
• Peter Leon Babinski, MD PHD

  • Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1316021124
  Medicare reassignment NPD
• Skylar Kosek, APRN

  • Family Nurse Practitioner
  • Stuart, FL
  • NPI 1740154970
  NPD
• Stella Kocovic Villacorta, D.O.

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1285153239

  Single Specialty

  NPD

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1780964460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD",
            "address_2": "SUITE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012008",
            "telephone_number": "954-463-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD",
            "address_2": "SUITE 103",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012008",
            "telephone_number": "954-463-5406",
            "fax_number": "954-522-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALT DERMATOLOGY & CONCIERGE MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "VILLACORTA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-463-5406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME36538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811442668",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galt Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jorge Gallo, M.D.
• Juan Sebastian Gallo
• Benjamin D. Galloso, LCSW, CAP, AHCT
• George Richard Galluzzo, DMD
• Galt Chiropractic Office, Inc.
• Galt Mile Wellness Chiropractic Center Inc
• Galt Ocean Chiropractic Inc
• Galt Ocean Rehab LLC
• Galt Ocean Rehab, LLC
• Kasey Lynn Galt, PT, DPT

• Specialist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.