Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2017-00012 | NC |
Y | 207X00000X | Orthopaedic Surgeon | ME134831 | FL |
NPI | 1013283019 |
---|---|
Provider Name | Dr. Michael Philip Silverstein |
First Address | Winter Park, FL 32789-4984 |
Second Address | Winter Park, FL 32789 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2012 |
Last Update Date | 24/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013283019 | (05) | NC |
2017-00012 | MEDICAL LICENSE (01) | NC |
NC3014 | (05) | SC |