MEDICARE: DR. MIKHAIL ZELFMAN D.O.

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	207Q00000X	Family Medicine Physician	OS9808	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AI479Z	OTHER	FL	PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629164439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIKHAIL ZELFMAN D.O.

Provider Business Mailing Address
First Line	:	600 THREE ISLANDS BLVD
Second Line	:	APT 1421
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2888
Country	:	US
Telephone Number	:	954-663-5066
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 THREE ISLANDS BLVD
Second Line	:	APT 1421
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-2888
Country	:	US
Telephone Number	:	954-663-5066
Fax Number	:

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	04/09/2013

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