Provider Demographics
NPI:1144217555
Name:FISHMAN, ARTHUR M (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:M
Last Name:FISHMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 S PARK RD STE 300
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-8353
Mailing Address - Country:US
Mailing Address - Phone:954-925-2740
Mailing Address - Fax:954-923-8379
Practice Address - Street 1:603 N FLAMINGO RD
Practice Address - Street 2:SUITE 250
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1023
Practice Address - Country:US
Practice Address - Phone:954-431-2777
Practice Address - Fax:954-431-1856
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0045731207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL035064800Medicaid
FL035064800Medicaid
FL62552Medicare ID - Type Unspecified