MEDICARE: DR. EDWARD DAVID HIRSCH EDWARD HIRSCH MD

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	207RI0200X	Infectious Disease Physician	ME80511	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	:	1578554408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD DAVID HIRSCH EDWARD HIRSCH MD

Provider Business Mailing Address
First Line	:	3080 NW 99TH AVE STE 304
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4038
Country	:	US
Telephone Number	:	954-733-7606
Fax Number	:	754-946-2066

Provider Business Practice Location Address
First Line	:	3080 NW 99TH AVE STE 304
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4038
Country	:	US
Telephone Number	:	954-733-7606
Fax Number	:	754-946-2066

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	09/10/2024

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