Healthcare Provider Details

I. General information

NPI: 1932428760
Provider Name (Legal Business Name): DARYL J SAFERSTEIN & ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2010
Last Update Date: 11/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16499 NE 19TH AVE #105
N MIAMI BEACH FL
33162-4105
US

IV. Provider business mailing address

16499 NE 19TH AVE #105
N MIAMI BEACH FL
33162-4105
US

V. Phone/Fax

Practice location:
  • Phone: 305-947-8651
  • Fax: 305-947-9684
Mailing address:
  • Phone: 305-947-8651
  • Fax: 305-947-9684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO579
License Number StateFL

VIII. Authorized Official

Name: DR. DARYL J SAFERSTEIN
Title or Position: PRESIDENT
Credential: D.P.M.
Phone: 305-947-8651