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NPI Code Detail

MEDICARE: LOEL A FISHMAN MD

MEDICARE: LOEL A FISHMAN 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
1207V00000XObstetrics & Gynecology PhysicianME72825FL

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 : 1164421475
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOEL A FISHMAN MD
Provider Business Mailing Address
First Line : 770 NORTHPOINT PARKWAY
Second Line : SUITE 102
City : WEST PALM BEACH
State : FL
Zip : 33407
Country : US
Telephone Number : 561-275-7604
Fax Number : 561-802-5385
Provider Business Practice Location Address
First Line : 345 JUPITER LAKES BLVD
Second Line : SUITE 200
City : JUPITER
State : FL
Zip : 33458-7100
Country : US
Telephone Number : 561-741-1957
Fax Number : 561-741-1893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 09/25/2017

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Directions to “ LOEL A FISHMAN MD” Practice Location

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