Provider Demographics
NPI:1508901547
Name:SILBERSTEIN, JARED (DC)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:
Last Name:SILBERSTEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8865 COMMODITY CIR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9077
Mailing Address - Country:US
Mailing Address - Phone:407-354-0009
Mailing Address - Fax:407-354-4882
Practice Address - Street 1:8865 COMMODITY CIR
Practice Address - Street 2:SUITE 3
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9077
Practice Address - Country:US
Practice Address - Phone:407-354-0009
Practice Address - Fax:407-354-4882
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8757111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89459OtherBCBS NON PART PROVIDER
FL94949OtherBCBS GROUP NUMBER
FL89459OtherBCBS NON PART PROVIDER