Provider Demographics
NPI:1629164439
Name:ZELFMAN, MIKHAIL (DO)
Entity Type:Individual
Prefix:DR
First Name:MIKHAIL
Middle Name:
Last Name:ZELFMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 THREE ISLANDS BLVD
Mailing Address - Street 2:APT 1421
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2888
Mailing Address - Country:US
Mailing Address - Phone:954-663-5066
Mailing Address - Fax:
Practice Address - Street 1:600 THREE ISLANDS BLVD
Practice Address - Street 2:APT 1421
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2888
Practice Address - Country:US
Practice Address - Phone:954-663-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9808207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAI479ZOtherPTAN
FLVAD000Medicare UPIN