Healthcare Provider Details

I. General information

NPI: 1104800275
Provider Name (Legal Business Name): HOWARD M. SILVERSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 W HILLSBORO BLVD SUITE 204
DEERFIELD BEACH FL
33442-1484
US

IV. Provider business mailing address

1800 W HILLSBORO BLVD SUITE 204
DEERFIELD BEACH FL
33442-1484
US

V. Phone/Fax

Practice location:
  • Phone: 954-421-8000
  • Fax: 954-426-4400
Mailing address:
  • Phone: 954-421-8000
  • Fax: 954-426-4400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME27120
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: