Provider Demographics
NPI:1104800275
Name:SILVERSTEIN, HOWARD M (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:M
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 W HILLSBORO BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1484
Mailing Address - Country:US
Mailing Address - Phone:954-421-8000
Mailing Address - Fax:954-426-4400
Practice Address - Street 1:1800 W HILLSBORO BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1484
Practice Address - Country:US
Practice Address - Phone:954-421-8000
Practice Address - Fax:954-426-4400
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME27120174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0402618OtherGHI
FL1048891OtherAETNA
FL2128495OtherVYTRA
FL4406455OtherAETNA
FLD66062Medicare UPIN
FL4406455OtherAETNA