Provider Demographics
NPI:1801916325
Name:SAFERSTEIN, DARYL JOEL (DPM)
Entity type:Individual
Prefix:DR
First Name:DARYL
Middle Name:JOEL
Last Name:SAFERSTEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16499 NE 19TH AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4105
Mailing Address - Country:US
Mailing Address - Phone:305-947-8651
Mailing Address - Fax:305-947-9684
Practice Address - Street 1:16499 NE 19TH AVE STE 105
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4105
Practice Address - Country:US
Practice Address - Phone:305-947-8651
Practice Address - Fax:305-947-9684
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO000579213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL029677500Medicaid
FL55391Medicare UPIN