Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NR0200X | Radiology | CH8362 | FL |
N | 213ER0200X | Radiology | CH8362 | FL |
Y | 111NS0005X | Chiropractic Sports Physician | CH8362 | FL |
NPI | 1467591081 |
---|---|
Provider Name | Dr. Craig Ian Silberstein |
First Address | Ocoee, FL 34761-2981 |
Second Address | Ocoee, FL 34761-2981 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 21/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
381623100 | (05) | FL |