Individual ProviderDavid Stephen LiptonInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1400 NW 12th Ave, Cedars Medical Center, Miami, FL 33136-1003(305) 325-5511(561) 967-4118PECOS EnrollmentBased on the most recent information from CMS, provider David Stephen Lipton does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1447203732Provider TypeIndividualFull NameLipton, David StephenCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/18/2006Last Updated2/9/2022Contact InformationPractice LocationPractice Address1400 NW 12th Ave, Cedars Medical Center, Miami, FL 33136-1003Phone(305) 325-5511FaxUnlisted FaxMailing LocationMailing AddressPO Box 266211, Weston, FL 33326-6211Phone(561) 967-4118FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME0037855FloridaCode207RC0200XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME0037855FloridaCode207RP1001XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME0037855FloridaProvider IdentifiersIDDescriptionIssuerID261772200DescriptionMedicaidIssuerUnlistedFloridaID261772200DescriptionOtherIssuerPSNFloridaID94089DescriptionOtherIssuerBLUE CROSS BLUE SHIELDFloridaIDN220264DescriptionOtherIssuerWELLCAREFlorida