Provider Demographics
NPI:1952555948
Name:SILVERSTONE, JACOB (DPM)
Entity Type:Individual
Prefix:DR
First Name:JACOB
Middle Name:
Last Name:SILVERSTONE
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:12550 BISCAYNE BLVD
Mailing Address - Street 2:STE 304
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2541
Mailing Address - Country:US
Mailing Address - Phone:305-397-8623
Mailing Address - Fax:305-763-8769
Practice Address - Street 1:12550 BISCAYNE BLVD
Practice Address - Street 2:STE 304
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2541
Practice Address - Country:US
Practice Address - Phone:305-397-8623
Practice Address - Fax:305-763-8769
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2015-01-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY65 P65268213ES0103X
FLPO 3464213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery