MEDICARE: SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLC

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

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

NPI Number	:	1174731798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLC

Provider Business Mailing Address
First Line	:	900 S PINE ISLAND RD
Second Line	:	SUITE 800
City	:	PLANTATION
State	:	FL
Zip	:	33324-3920
Country	:	US
Telephone Number	:	561-863-5757
Fax Number	:	561-863-6627

Provider Business Practice Location Address
First Line	:	2939 N MILITARY TRL
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-2916
Country	:	US
Telephone Number	:	561-863-5757
Fax Number	:	561-863-6627

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PATRICIA CORSIATTO
Credential	:
Telephone Number	:	954-967-6400

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	07/23/2019

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

2939 N MILITARY TRL
WEST PALM BEACH, FL
33409-2916