Provider Demographics
NPI:1013983410
Name:SILVERMAN, LAURENCE ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:ALAN
Last Name:SILVERMAN
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 1:11010 N KENDALL DRIVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-1205
Mailing Address - Country:US
Mailing Address - Phone:305-596-1199
Mailing Address - Fax:305-596-1364
Practice Address - Street 1:11010 N KENDALL DRIVE
Practice Address - Street 2:SUITE 104
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1205
Practice Address - Country:US
Practice Address - Phone:305-596-1199
Practice Address - Fax:305-596-1364
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0002980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88324Medicare ID - Type Unspecified
T55783Medicare UPIN