Provider Demographics
NPI:1871563452
Name:SILFEN, FREDERICK R (MD)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:R
Last Name:SILFEN
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 1:1000 NW 9TH CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:561-338-9811
Mailing Address - Fax:561-750-1169
Practice Address - Street 1:1000 NW 9TH CT
Practice Address - Street 2:SUITE 103
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-338-9811
Practice Address - Fax:561-750-1169
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0057973207VG0400X
FLME57973207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E97010Medicare UPIN
FL10708ZMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER