Provider Demographics
NPI:1700892858
Name:SCHLESINGER, IRA H (MD)
Entity type:Individual
Prefix:
First Name:IRA
Middle Name:H
Last Name:SCHLESINGER
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 1:4800 LINTON BLVD STE D500
Mailing Address - Street 2:SUITE D-500
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6593
Mailing Address - Country:US
Mailing Address - Phone:561-498-2028
Mailing Address - Fax:
Practice Address - Street 1:4800 LINTON BLVD STE D500
Practice Address - Street 2:SUITE D-500
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6593
Practice Address - Country:US
Practice Address - Phone:561-498-2028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70727207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL44684OtherBCBS ID#
FLE1222ZMedicare ID - Type Unspecified
FL44684OtherBCBS ID#