Provider Demographics
NPI:1043281611
Name:SKLAVER, ALLEN ROBERT (MD)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:ROBERT
Last Name:SKLAVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7353 NW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2202
Mailing Address - Country:US
Mailing Address - Phone:954-584-6320
Mailing Address - Fax:954-587-2166
Practice Address - Street 1:7353 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2202
Practice Address - Country:US
Practice Address - Phone:954-584-6320
Practice Address - Fax:954-587-2166
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME25478207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL92250ZMedicare ID - Type Unspecified
D60008Medicare UPIN