Provider Demographics
NPI:1912975780
Name:ORTHOPAEDIC SPECIALISTS OF MIAMI BEACH, INC
Entity Type:Organization
Organization Name:ORTHOPAEDIC SPECIALISTS OF MIAMI BEACH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:LOZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-674-5956
Mailing Address - Street 1:PO BOX 402125
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-0125
Mailing Address - Country:US
Mailing Address - Phone:305-674-5956
Mailing Address - Fax:
Practice Address - Street 1:4701 N MERIDIAN AVE
Practice Address - Street 2:SUITE 601
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2910
Practice Address - Country:US
Practice Address - Phone:305-674-5956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME58688207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1134125461OtherPHILIP R. LOZMAN M.D.
FL1659363455OtherJERRY S. SHER, M.D. NPI
FLG14875Medicare UPIN
FLG14872Medicare UPIN
FL26950Medicare ID - Type UnspecifiedJERRY S. SHER, M.D.
FL26945Medicare ID - Type UnspecifiedPHILIP R. LOZMAN, M.D.