Active NPI
Ronald D Smith and Eduardo Weiss MD PA
- Specialist
- Hollywood, FL
National Provider Identifier
1790735710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 75865
- Legal business name
- RONALD D SMITH AND EDUARDO WEISS MD PA
- Practice address
- 3850 Hollywood Blvd
Suite 301
Hollywood, FL 33021-6748 - Phone
- (954) 961-1200
- Fax
- (954) 963-0378
- NPI assigned
- May 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Julie Soto
- Title
- Manager
- Phone
- (954) 961-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 75865 | FL | Primary |
Addresses
Primary practice location
3850 Hollywood Blvd
Suite 301
Hollywood, FL 33021-6748
Mailing address
3850 Hollywood Blvd
Suite 301
Hollywood, FL 33021-6748
Phone (954) 961-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38381 | Other | FL | BLUE CROSS BLUE SHIELD |
Other names 1
- DERMATOLOGY & COSMETIC SPECIALISTS
National Provider Directory
National Provider DirectoryLocations
3850 Hollywood Blvd
Ste 301
Hollywood, FL 33021
Phone (954) 961-1200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Hollywood, FL
- NPI 1053308965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1790735710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 HOLLYWOOD BLVD",
"address_2": "SUITE 301",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216748",
"telephone_number": "954-961-1200",
"fax_number": "954-963-0378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 HOLLYWOOD BLVD",
"address_2": "SUITE 301",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216748",
"telephone_number": "954-961-1200",
"fax_number": "954-963-0378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD D SMITH AND EDUARDO WEISS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "SOTO",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "954-961-1200",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "75865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "38381",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DERMATOLOGY & COSMETIC SPECIALISTS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.