MEDICARE: SALTZMAN, TANIS, PITTEL, LEVIN AND JACOBSON, LLC

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	208000000X	Pediatrics Physician

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	:	1174118970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALTZMAN, TANIS, PITTEL, LEVIN AND JACOBSON, LLC

Provider Business Mailing Address
First Line	:	900 S PINE ISLAND RD STE 800
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-3923
Country	:	US
Telephone Number	:	954-967-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	12216 PANAMA CITY BEACH PKWY STE B
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-2728
Country	:	US
Telephone Number	:	954-967-6400
Fax Number	:	954-965-7339

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	DARLENE NEEL
Credential	:
Telephone Number	:	954-967-6400

Provider Enumeration Date	:	03/03/2021
Last Update Date	:	01/13/2022

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Directions to “SALTZMAN, TANIS, PITTEL, LEVIN AND JACOBSON, LLC ” Practice Location

Language	Start Address	Practice Location

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