MEDICARE: RICHARD STEWART KALSKI 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	207W00000X	Ophthalmology Physician	ME67050	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

General Provider Information

NPI Number	:	1497739551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD STEWART KALSKI M.D.

Provider Business Mailing Address
First Line	:	7000 SW 97TH AVE
Second Line	:	SUITE 114
City	:	MIAMI
State	:	FL
Zip	:	33173-1494
Country	:	US
Telephone Number	:	305-665-2023
Fax Number	:	305-665-2363

Provider Business Practice Location Address
First Line	:	6161 SUNSET DR
Second Line	:	SUITE B
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5045
Country	:	US
Telephone Number	:	305-665-2023
Fax Number	:	305-665-2363

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

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	03/08/2017

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