Provider Demographics
NPI:1477761039
Name:SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLC
Entity Type:Organization
Organization Name:SALTZMAN, TANIS, PITTELL, LEVIN AND JACOBSON, LLC
Other - Org Name:PEDIATRIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORSIATTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-967-6400
Mailing Address - Street 1:900 S PINE ISLAND RD
Mailing Address - Street 2:800
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3920
Mailing Address - Country:US
Mailing Address - Phone:305-682-9877
Mailing Address - Fax:305-682-1602
Practice Address - Street 1:21097 NE 27TH CT
Practice Address - Street 2:205
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1204
Practice Address - Country:US
Practice Address - Phone:305-682-9877
Practice Address - Fax:305-682-1602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373797728Medicaid