MEDICARE: DR. DAVID L LIPKIN 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	208100000X	Physical Medicine & Rehabilitation Physician	ME14045	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053319350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID L LIPKIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 630127
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33163-0127
Country	:	US
Telephone Number	:	305-672-1256
Fax Number	:	305-672-1266

Provider Business Practice Location Address
First Line	:	4302 ALTON RD
Second Line	:	SUITE 420
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-2891
Country	:	US
Telephone Number	:	305-672-1256
Fax Number	:	305-672-1266

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	04/01/2013

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