Individual ProviderMark David StavitskyPediatricsAllopathic & Osteopathic PhysiciansPractice Address8430 W Broward Blvd, Suite 300, Plantation, FL 33324(954) 722-0300PECOS EnrollmentBased on the most recent information from CMS, provider Mark David Stavitsky does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1902999709Provider TypeIndividualFull NameStavitsky, Mark DavidCredentialMDGenderMaleSole ProprietorNoEnumeration Date10/2/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address8430 W Broward Blvd, Suite 300, Plantation, FL 33324Phone(954) 722-0300Fax(954) 597-0291Mailing LocationMailing Address8430 W Broward Blvd, Suite 300, Plantation, FL 33324Phone(954) 722-0300Fax(954) 597-0291Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME63327Florida