Provider Demographics
NPI:1265445902
Name:ESTRIN, HOWARD M (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:M
Last Name:ESTRIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 740215
Mailing Address - Street 2:DEPARTMENT 40087
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-0215
Mailing Address - Country:US
Mailing Address - Phone:305-937-2307
Mailing Address - Fax:305-937-2218
Practice Address - Street 1:21110 BISCAYNE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1227
Practice Address - Country:US
Practice Address - Phone:305-937-2307
Practice Address - Fax:305-937-2218
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-02-25
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Provider Licenses
StateLicense IDTaxonomies
FLME0057603207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14556OtherBLUE CROSS BLUE SHIELD
FL5501306OtherAETNA
FL238421OtherAVMED
FL54114OtherJMH
FL110082972OtherRAILROAD MEDICARE
FL5501306OtherCIGNA
FL007564NOtherNEIGHBORHOOD HEALTH
FL370648600Medicaid
FLF16049OtherVISTA
FL5501306OtherAETNA
FL007564NOtherNEIGHBORHOOD HEALTH