1932319514 NPI number — DRS. E. & D. FISCHMAN, PA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932319514 NPI number — DRS. E. & D. FISCHMAN, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DRS. E. & D. FISCHMAN, PA
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:
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:
1932319514
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/13/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
901 W INDIANTOWN RD
Provider Second Line Business Mailing Address:
SUITE 15
Provider Business Mailing Address City Name:
JUPITER
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33458-6811
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-575-2266
Provider Business Mailing Address Fax Number:
561-745-8510

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
901 W INDIANTOWN RD
Provider Second Line Business Practice Location Address:
SUITE 15
Provider Business Practice Location Address City Name:
JUPITER
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33458-6811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-575-2266
Provider Business Practice Location Address Fax Number:
561-745-8510
Provider Enumeration Date:
05/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FISCHMAN
Authorized Official First Name:
EDWARD
Authorized Official Middle Name:
H
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
561-575-2266

Provider Taxonomy Codes

  • Taxonomy code: 213ES0131X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com