Provider Demographics
NPI:1093808289
Name:ACKERMAN & PLISKOW M.D. P.A.
Entity Type:Organization
Organization Name:ACKERMAN & PLISKOW M.D. P.A.
Other - Org Name:ADVANCED WOMENS HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PLISKOW
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:561-683-1331
Mailing Address - Street 1:603 VILLAGE BLVD.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409
Mailing Address - Country:US
Mailing Address - Phone:561-683-1331
Mailing Address - Fax:561-683-4615
Practice Address - Street 1:603 VILLAGE BLVD.
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409
Practice Address - Country:US
Practice Address - Phone:561-683-1331
Practice Address - Fax:561-683-4615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0054211207V00000X
FLOS8387207V00000X
FLME0043294207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL370054200Medicaid
FL370057700Medicaid
F03029Medicare UPIN
FL72369Medicare UPIN
FL370057700Medicaid