MEDICARE: DR. IGOR ZILBERMAN D.P.M.

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO 3176	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1114050648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IGOR ZILBERMAN D.P.M.

Provider Business Mailing Address
First Line	:	230 174TH ST APT 1414
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3331
Country	:	US
Telephone Number	:	305-439-9479
Fax Number	:	305-439-9479

Provider Business Practice Location Address
First Line	:	230 174TH ST APT 1414
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-3331
Country	:	US
Telephone Number	:	305-439-9479
Fax Number	:	305-439-9479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	04/03/2009

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