Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | ME0012453 | FL |
NPI | 1275736571 |
---|---|
Provider Name | Dr. Barry J Silverman |
First Address | Aventura, FL 33180-1421 |
Second Address | Aventura, FL 33180-1421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D82590 | (02) | FL |
ME0012453 | MEDICAL LICENSE (01) | FL |