Provider Demographics
NPI:1659336832
Name:SCHIFF, MARTIN ALAN (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:ALAN
Last Name:SCHIFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 UNIVERSITY DR
Mailing Address - Street 2:STE K DERMATOLOGY CONSULTANTS OF S FL PA
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065
Mailing Address - Country:US
Mailing Address - Phone:954-752-2630
Mailing Address - Fax:954-752-9391
Practice Address - Street 1:3000 UNIVERSITY DR
Practice Address - Street 2:STE K
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065
Practice Address - Country:US
Practice Address - Phone:954-752-2630
Practice Address - Fax:954-752-9391
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME37418207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D64684Medicare UPIN
FL94152ZMedicare ID - Type Unspecified