Provider Demographics
NPI:1407188527
Name:DAVID H. SILVERSTEIN, MD, PA
Entity Type:Organization
Organization Name:DAVID H. SILVERSTEIN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:SILVERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-525-4066
Mailing Address - Street 1:5880 49TH ST N
Mailing Address - Street 2:SUITE N-207
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-2150
Mailing Address - Country:US
Mailing Address - Phone:727-525-4066
Mailing Address - Fax:727-525-3935
Practice Address - Street 1:5880 49TH ST N
Practice Address - Street 2:SUITE N-207
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-2150
Practice Address - Country:US
Practice Address - Phone:727-525-4066
Practice Address - Fax:727-525-3935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME54116174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CV260AOtherMEDICARE PTAN
FL372597900Medicaid
FL18594Medicare PIN
FL372597900Medicaid