Healthcare Provider Details

I. General information

NPI: 1720050123
Provider Name (Legal Business Name): DANA P ASCHERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 02/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 NW 12TH AVE
MIAMI FL
33136-1002
US

IV. Provider business mailing address

1611 NW 12TH AVE PO BOX 016960 (M851)
MIAMI FL
33136-1005
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-7545
  • Fax:
Mailing address:
  • Phone: 305-243-7545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberME 108262
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: