Provider Demographics
NPI:1386622397
Name:SCHIFFMAN, LAWRENCE ADAM (DO, FAOCD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:ADAM
Last Name:SCHIFFMAN
Suffix:
Gender:M
Credentials:DO, FAOCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 NW 82ND AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6694
Mailing Address - Country:US
Mailing Address - Phone:305-735-9474
Mailing Address - Fax:786-472-2717
Practice Address - Street 1:3650 NW 82ND AVE STE 306
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6694
Practice Address - Country:US
Practice Address - Phone:305-735-9474
Practice Address - Fax:786-472-2717
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07678400207N00000X
PAOS011087207N00000X
NY234461207N00000X
FLOS8835207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020718400Medicaid
PA1859721Medicaid
FL1386622397OtherORGANIZATION NPI