Provider Demographics
NPI:1265417232
Name:OSTERMAN, FLOYD A JR (MD)
Entity type:Individual
Prefix:
First Name:FLOYD
Middle Name:A
Last Name:OSTERMAN
Suffix:JR
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 1:21000 NE 28TH AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1421
Mailing Address - Country:US
Mailing Address - Phone:305-932-7800
Mailing Address - Fax:305-932-9166
Practice Address - Street 1:21000 NE 28TH AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1421
Practice Address - Country:US
Practice Address - Phone:305-932-7800
Practice Address - Fax:305-932-9166
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME303742085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254904200Medicaid
FL93449TMedicare PIN
FL254904200Medicaid