Provider Demographics
NPI:1922186360
Name:SILVERBERG, IRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:IRIS
Middle Name:
Last Name:SILVERBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 S COMMERCE PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3622
Mailing Address - Country:US
Mailing Address - Phone:954-385-6277
Mailing Address - Fax:954-217-6317
Practice Address - Street 1:2900 S COMMERCE PKWY
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3622
Practice Address - Country:US
Practice Address - Phone:954-385-6277
Practice Address - Fax:954-217-6317
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90721208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46681OtherBC/BS
FL270194400Medicaid
FLI20721Medicare UPIN