Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | ME14045 | FL |
NPI | 1053319350 |
---|---|
Provider Name | Dr. David L Lipkin |
First Address | Miami, FL 33163-0127 |
Second Address | Miami Beach, FL 33140-2891 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 01/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
069011200 | (05) | FL |
D59079 | (02) | FL |