Provider Demographics
NPI:1104881333
Name:ZISMAN, ARIEL (MD)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:ZISMAN
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 1:2920 NE 207TH ST STE 802
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1441
Mailing Address - Country:US
Mailing Address - Phone:305-466-9500
Mailing Address - Fax:305-466-9600
Practice Address - Street 1:2920 NE 207TH ST STE 802
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1441
Practice Address - Country:US
Practice Address - Phone:305-466-9500
Practice Address - Fax:305-466-9600
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80479207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8831745OtherCIGNA PROVIDER#
FL7065871OtherAETNA PROVIDER#
FL271705OtherAVMED PROVIDER#
FL35891OtherBCBS-FL PROVIDER#
FL5627OtherTOTAL HEALTH CHOICE #
FL274929OtherWELLCARE PROVIDER#
FL5627OtherTOTAL HEALTH CHOICE #
FL8831745OtherCIGNA PROVIDER#