Healthcare Provider Details

I. General information

NPI: 1225270663
Provider Name (Legal Business Name): LITAL REITBLAT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LITAL DARDIK M.D.

II. Dates (important events)

Enumeration Date: 03/31/2009
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 N 35TH AVE STE 200
HOLLYWOOD FL
33021
US

IV. Provider business mailing address

2900 CORPORATE WAY DOOR D
MIRAMAR FL
33025-3925
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-6984
  • Fax: 954-265-9343
Mailing address:
  • Phone: 954-276-5685
  • Fax: 954-985-7074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME122255
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberME122255
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: