Organization Active NPI

Ronald D Smith and Eduardo Weiss MD PA

  • Specialist
  • Hollywood, FL
National Provider Identifier
1790735710
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
75865 Issued in FL
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

Updated by the provider on May 15, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
38381OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • DERMATOLOGY & COSMETIC SPECIALISTS Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.