Provider Demographics
NPI:1245275569
Name:LIFSHITZ, OREN H (MD)
Entity type:Individual
Prefix:
First Name:OREN
Middle Name:H
Last Name:LIFSHITZ
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 1:10887 N MILITARY TRL STE 8
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6528
Mailing Address - Country:US
Mailing Address - Phone:561-346-6886
Mailing Address - Fax:
Practice Address - Street 1:10887 N MILITARY TRL
Practice Address - Street 2:SUITE 8
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6528
Practice Address - Country:US
Practice Address - Phone:561-296-7546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94355207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU8678ZMedicare PIN
FLI65463Medicare UPIN