Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME87537 | FL |
NPI | 1356686364 |
---|---|
Provider Name | Dr. Arthur Jay Silvergleid |
First Address | Saint Petersburg, FL 33704-4515 |
Second Address | Saint Petersburg, FL 33716-3806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2012 |
Last Update Date | 02/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A39484 | (02) | CA |
FS1458151 | DEA (01) | FL |
G015286 | STATE MEDICAL LICENSE (01) | CA |
ME 87537 | MEDICAL LICENSE NUMBER (01) | FL |