MEDICARE: MICHAEL LOEFFLER MD PA

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	207W00000X	Ophthalmology Physician	FLME0057699	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DG7554	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1245355619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL LOEFFLER MD PA

Provider Business Mailing Address
First Line	:	2100 NE 36TH ST STE 102
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-7574
Country	:	US
Telephone Number	:	954-786-5353
Fax Number	:	954-786-5340

Provider Business Practice Location Address
First Line	:	2100 NE 36TH ST STE 102
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-7574
Country	:	US
Telephone Number	:	954-786-5353
Fax Number	:	954-786-5340

Authorized Official
Title or Position	:	MANAGER
Name	:	PATRICIA RICARDEZ
Credential	:
Telephone Number	:	954-786-5353

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	10/25/2022

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