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NPI Code Detail

MEDICARE: RONALD FLASTER MD

MEDICARE: RONALD FLASTER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME68229FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003892100
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD FLASTER MD
Provider Business Mailing Address
First Line : 1613 NW 136TH AVE
Second Line : BUILDING C, SUITE #200
City : SUNRISE
State : FL
Zip : 33323-2853
Country : US
Telephone Number : 954-838-2371
Fax Number :
Provider Business Practice Location Address
First Line : 2801 N STATE ROAD 7
Second Line :
City : MARGATE
State : FL
Zip : 33063-5727
Country : US
Telephone Number : 954-974-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 07/08/2007

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Directions to “ RONALD FLASTER MD” Practice Location

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