1003447830 NPI number — SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLC

Table of content: (NPI 1003447830)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003447830 NPI number — SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003447830
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/02/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
900 S PINE ISLAND RD STE 800
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLANTATION
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33324-3923
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-965-7331
Provider Business Mailing Address Fax Number:
954-965-7339

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2140 E EDGEWOOD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKELAND
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33803-3604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-669-1212
Provider Business Practice Location Address Fax Number:
863-666-6089
Provider Enumeration Date:
01/30/2020

Additional Information

Authorized Official

Authorized Official Last Name:
CORSIATTO
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
954-965-7331

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 373797745 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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