Provider Demographics
NPI:1043499882
Name:M. L. SAPERSTEIN, M.D., P.A.
Entity type:Organization
Organization Name:M. L. SAPERSTEIN, M.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:SAPERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-842-2510
Mailing Address - Street 1:5321 GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4014
Mailing Address - Country:US
Mailing Address - Phone:727-842-2510
Mailing Address - Fax:727-848-0241
Practice Address - Street 1:5321 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4014
Practice Address - Country:US
Practice Address - Phone:727-842-2510
Practice Address - Fax:727-848-0241
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POLLACK AND SAPERSTEIN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-29
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19319ME207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
51055OtherBLUE CROSS
=========OtherTIN
51055OtherBLUE CROSS
51055YMedicare PIN
24484Medicare PIN