Healthcare Provider Details

I. General information

NPI: 1518934488
Provider Name (Legal Business Name): JONATHAN J. SILVERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 N FEDERAL HWY
FT LAUDERDALE FL
33308-1427
US

IV. Provider business mailing address

PO BOX 409041
ATLANTA GA
30384-9041
US

V. Phone/Fax

Practice location:
  • Phone: 954-776-8610
  • Fax: 954-776-8521
Mailing address:
  • Phone: 800-377-8721
  • Fax: 304-523-2241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME132918
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: