| Moises Siperstein Md Pa | |
|
10377 S Us Highway 1 Suite 102 Port St Lucie FL 34952-5630 | |
| (772) 337-7811 | |
| (772) 337-7833 |
| Full Name | Moises Siperstein Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10377 S Us Highway 1, Port St Lucie, Florida |
| Authorized Official Name and Position | Moises Siperstein-blumovicz (PRESIDENT) |
| Authorized Official Contact | 7723377811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moises Siperstein Md Pa 10377 S Us Highway 1 Suite 102 Port St Lucie FL 34952-5630 Ph: (772) 337-7811 | Moises Siperstein Md Pa 10377 S Us Highway 1 Suite 102 Port St Lucie FL 34952-5630 Ph: (772) 337-7811 |
| NPI Number | 1841484029 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 12/22/2014 |
| Medicare PECOS PAC ID | 2062581267 |
|---|---|
| Medicare Enrollment ID | O20080514000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841484029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME76469 (Florida) | Primary |
| Provider Name | Moises Siperstein Blumovicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568436103 PECOS PAC ID: 1254400450 Enrollment ID: I20080514000187 |
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