Spivack, Eric M

Spivack, Eric M is an sole proprietor health care provider with primary practice located at 21110 Biscayne Blvd Ste 208, Aventura FL 33180-1251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Spivack, Eric M can be contacted via phone (305) 692-9299.

Contact Information

Primary practice address
21110 Biscayne Blvd Ste 208 Aventura FL 33180-1251
Phone: (305) 692-9299
Fax: (305) 692-8668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME 50897 Florida

Profile Details

NPI number 1336296789
LBN Legal business name Spivack, Eric M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jan 2nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336296789 NPPES
Florida MEDICAID 047753200

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