Provider Demographics
NPI:1902972623
Name:KRIMSHTEIN, SULIM A (MD)
Entity Type:Individual
Prefix:
First Name:SULIM
Middle Name:A
Last Name:KRIMSHTEIN
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 1:12955 BISCAYNE BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2021
Mailing Address - Country:US
Mailing Address - Phone:305-670-0606
Mailing Address - Fax:305-670-7859
Practice Address - Street 1:12955 BISCAYNE BLVD STE 204
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2021
Practice Address - Country:US
Practice Address - Phone:305-670-0606
Practice Address - Fax:305-670-7859
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0045034208100000X
FL211731-52081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
D63830Medicare UPIN
96355Medicare ID - Type Unspecified