Healthcare Provider Details

I. General information

NPI: 1871534040
Provider Name (Legal Business Name): NEAL T SILVERSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 E ALTAMONTE DR SUITE 217
ALTAMONTE SPRINGS FL
32701-5105
US

IV. Provider business mailing address

661 E ALTAMONTE DR SUITE 217
ALTAMONTE SPRINGS FL
32701-5105
US

V. Phone/Fax

Practice location:
  • Phone: 407-339-3030
  • Fax: 407-339-3003
Mailing address:
  • Phone: 407-339-3030
  • Fax: 407-339-3003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME43697
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: