Healthcare Provider Details

I. General information

NPI: 1396949418
Provider Name (Legal Business Name): SILVERMAN, WENDER, KOONIN, EPSTEIN, GARCIA & ROZENCWAIG, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21000 NE 28TH AVE STE 104
AVENTURA FL
33180-1421
US

IV. Provider business mailing address

21000 NE 28TH AVE STE 104
AVENTURA FL
33180-1421
US

V. Phone/Fax

Practice location:
  • Phone: 305-937-1999
  • Fax: 305-931-2071
Mailing address:
  • Phone: 305-937-1999
  • Fax: 305-931-2071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN S WENDER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 305-937-1999