MEDICARE: DR. LITAL REITBLAT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	ME122255	FL
2	2080P0205X	Pediatric Endocrinology Physician	ME122255	FL

General Provider Information

NPI Number	:	1225270663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LITAL REITBLAT M.D.

Provider Business Mailing Address
First Line	:	2900 CORPORATE WAY
Second Line	:	DOOR D
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3925
Country	:	US
Telephone Number	:	954-276-5685
Fax Number	:	954-985-7074

Provider Business Practice Location Address
First Line	:	1131 N 35TH AVE STE 200
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021
Country	:	US
Telephone Number	:	954-265-6984
Fax Number	:	954-265-9343

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2009
Last Update Date	:	03/16/2026

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