Provider Demographics
NPI:1770849069
Name:FALITZ, ILANA E (MD)
Entity Type:Individual
Prefix:DR
First Name:ILANA
Middle Name:E
Last Name:FALITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ILANA
Other - Middle Name:E
Other - Last Name:ERLICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5300 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2387
Mailing Address - Country:US
Mailing Address - Phone:561-848-5200
Mailing Address - Fax:561-863-2806
Practice Address - Street 1:5300 EAST AVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2387
Practice Address - Country:US
Practice Address - Phone:561-848-5200
Practice Address - Fax:561-863-2806
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME131345207P00000X, 207PH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PH0002XAllopathic & Osteopathic PhysiciansEmergency MedicineHospice and Palliative Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024041400Medicaid
FL024041400Medicaid