MEDICARE: DR. MICHAEL M PFEFFER 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
1	174400000X	Specialist	ME67265	FL
2	2084N0400X	Neurology Physician	ME67265	FL

General Provider Information

NPI Number	:	1467532093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL M PFEFFER MD

Provider Business Mailing Address
First Line	:	7100 SW 47TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126
Country	:	US
Telephone Number	:	305-643-8400
Fax Number	:	305-643-8845

Provider Business Practice Location Address
First Line	:	7100 SW 47TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126
Country	:	US
Telephone Number	:	305-643-8400
Fax Number	:	305-643-8845

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	01/27/2016

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