MEDICARE: ESTHER OZERYANSKY M.D.

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	208600000X	Surgery Physician	ME164095	FL
2	208600000X	Surgery Physician	Q9337	TX

General Provider Information

NPI Number	:	1255624219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER OZERYANSKY M.D.

Provider Business Mailing Address
First Line	:	2900 CORPORATE WAY # D
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3925
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 SW 172ND AVE STE 313
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5614
Country	:	US
Telephone Number	:	954-265-4325
Fax Number	:	954-538-5558

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

Provider Enumeration Date	:	05/24/2011
Last Update Date	:	01/27/2026

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