Provider Demographics
NPI:1932428760
Name:DARYL J SAFERSTEIN & ASSOCIATES INC
Entity type:Organization
Organization Name:DARYL J SAFERSTEIN & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SAFERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-947-8651
Mailing Address - Street 1:16499 NE 19TH AVE
Mailing Address - Street 2:#105
Mailing Address - City:N MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4105
Mailing Address - Country:US
Mailing Address - Phone:305-947-8651
Mailing Address - Fax:305-947-9684
Practice Address - Street 1:16499 NE 19TH AVE
Practice Address - Street 2:#105
Practice Address - City:N MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4105
Practice Address - Country:US
Practice Address - Phone:305-947-8651
Practice Address - Fax:305-947-9684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-18
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO579213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL29677500Medicaid
FLT55391Medicare UPIN
FL87264AMedicare PIN