Provider Demographics
NPI:1578640264
Name:SALZHAUER, MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:SALZHAUER
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 1:9801 COLLINS AVE
Mailing Address - Street 2:SUITE L1
Mailing Address - City:BAL HARBOUR
Mailing Address - State:FL
Mailing Address - Zip Code:33154-1815
Mailing Address - Country:US
Mailing Address - Phone:305-861-8266
Mailing Address - Fax:305-866-5052
Practice Address - Street 1:9801 COLLINS AVE
Practice Address - Street 2:SUITE L1
Practice Address - City:BAL HARBOUR
Practice Address - State:FL
Practice Address - Zip Code:33154-1815
Practice Address - Country:US
Practice Address - Phone:305-861-8266
Practice Address - Fax:305-866-5052
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME746392086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL27092AMedicare ID - Type Unspecified
FLH90764Medicare UPIN