MEDICARE: ZIDE SPITZER & FINLAY MD PA

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	207RI0200X	Infectious Disease Physician		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
2	38720	OTHER	FL	BCBSOF FL

General Provider Information

NPI Number	:	1194724302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZIDE SPITZER & FINLAY MD PA

Provider Business Mailing Address
First Line	:	4420 SHERIDAN ST
Second Line	:	A
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3552
Country	:	US
Telephone Number	:	954-962-0040
Fax Number	:	954-962-7901

Provider Business Practice Location Address
First Line	:	4420 SHERIDAN ST
Second Line	:	A
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-3552
Country	:	US
Telephone Number	:	954-962-0040
Fax Number	:	954-962-7901

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROGER DANIEL SPITZER
Credential	:	M.D.
Telephone Number	:	954-962-0040

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/21/2022

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