Provider Demographics
NPI:1982967535
Name:LOYFERMAN, RUSTY MARK (DO)
Entity type:Individual
Prefix:DR
First Name:RUSTY
Middle Name:MARK
Last Name:LOYFERMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2049 S OCEAN DR APT 1404E
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-6656
Mailing Address - Country:US
Mailing Address - Phone:832-816-4527
Mailing Address - Fax:
Practice Address - Street 1:8900 N KENDALL DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2118
Practice Address - Country:US
Practice Address - Phone:954-290-5117
Practice Address - Fax:954-851-1746
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ8947207L00000X
FLOS21630207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology