Provider Demographics
NPI:1578699518
Name:LIPKIN & TOLEDO PA
Entity Type:Organization
Organization Name:LIPKIN & TOLEDO PA
Other - Org Name:ASSOCIATES IN REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALERNO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-672-1256
Mailing Address - Street 1:PO BOX 630127
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33163-0127
Mailing Address - Country:US
Mailing Address - Phone:305-672-1256
Mailing Address - Fax:305-672-1266
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:SUITE 420
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2849
Practice Address - Country:US
Practice Address - Phone:305-672-1256
Practice Address - Fax:305-672-1266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00114045208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL72276Medicare ID - Type UnspecifiedGROUP NUMBER
FLD59079Medicare UPIN
FLE22555Medicare UPIN