Provider Demographics
NPI:1285642124
Name:ALPERSTEIN PLASTIC SURGERY PA
Entity Type:Organization
Organization Name:ALPERSTEIN PLASTIC SURGERY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:ALPERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-472-8355
Mailing Address - Street 1:8430 WEST BROWARD BLVD
Mailing Address - Street 2:#200
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324
Mailing Address - Country:US
Mailing Address - Phone:954-472-8355
Mailing Address - Fax:954-472-7108
Practice Address - Street 1:8430 WEST BROWARD BLVD
Practice Address - Street 2:#200
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324
Practice Address - Country:US
Practice Address - Phone:954-472-8355
Practice Address - Fax:954-472-7108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0046651208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D63989Medicare UPIN
FLK5947Medicare ID - Type Unspecified