Provider Demographics
NPI:1033141304
Name:HAMMERMAN, MARC Z (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:Z
Last Name:HAMMERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3554
Mailing Address - Country:US
Mailing Address - Phone:954-989-3500
Mailing Address - Fax:954-989-3511
Practice Address - Street 1:4310 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3554
Practice Address - Country:US
Practice Address - Phone:954-989-3500
Practice Address - Fax:954-989-3511
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME35819207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD64634Medicare UPIN
FL93873RMedicare PIN
FL5308000002Medicare NSC
FL93873QMedicare PIN
FL93873Medicare PIN