| David Mishkin D.O. P.A. | |
|
2021 E Commercial Blvd Suite 301 Fort Lauderdale FL 33308 | |
| (954) 202-7899 | |
| (954) 202-7877 |
| Full Name | David Mishkin D.O. P.A. |
|---|---|
| Speciality | Family Medicine |
| Location | 2021 E Commercial Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | David B Mishkin (OWNER/PRESIDENT) |
| Authorized Official Contact | 9542027899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Mishkin D.O. P.A. 2021 E Commercial Blvd Suite 301 Fort Lauderdale FL 33308 Ph: (954) 202-7899 | David Mishkin D.O. P.A. 2021 E Commercial Blvd Suite 301 Fort Lauderdale FL 33308 Ph: (954) 202-7899 |
| NPI Number | 1346412970 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 11/28/2012 |
| Medicare PECOS PAC ID | 7517950330 |
|---|---|
| Medicare Enrollment ID | O20040407000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346412970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8314 (Florida) | Primary |
| Provider Name | David B Mishkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700896206 PECOS PAC ID: 3577556299 Enrollment ID: I20040412000649 |
| Provider Name | Steven Winslow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366535296 PECOS PAC ID: 9537261631 Enrollment ID: I20070220000518 |
| Provider Name | Anelia Stoykova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831597624 PECOS PAC ID: 4082990916 Enrollment ID: I20170407001416 |
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