MEDICARE: STEPHEN SINCLAIR-HALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	SC007035	PA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	POD463	NM
3	213ES0103X	Foot & Ankle Surgery Podiatrist	PO4663	FL

General Provider Information

NPI Number	:	1194386219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN SINCLAIR-HALL

Provider Business Mailing Address
First Line	:	595 W GRANADA BLVD STE F
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5182
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	595 W GRANADA BLVD STE F
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5182
Country	:	US
Telephone Number	:	386-832-0876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2019
Last Update Date	:	08/05/2025

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Directions to “ STEPHEN SINCLAIR-HALL ” Practice Location

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