Provider Demographics
NPI:1083825517
Name:SANFILIPO, MICHAEL PETER (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PETER
Last Name:SANFILIPO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:PATRICK
Other - Last Name:MCNEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2980 MCFARLANE RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:COCONUT GROVE
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6030
Mailing Address - Country:US
Mailing Address - Phone:786-316-5440
Mailing Address - Fax:786-409-4727
Practice Address - Street 1:2980 MCFARLANE RD
Practice Address - Street 2:SUITE 212
Practice Address - City:COCONUT GROVE
Practice Address - State:FL
Practice Address - Zip Code:33133-6030
Practice Address - Country:US
Practice Address - Phone:786-316-5440
Practice Address - Fax:786-409-4727
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME990282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry