MEDICARE: BERNARD D STEIN M.D.

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	174400000X	Specialist	ME25485	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720049224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNARD D STEIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 18904
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33679-8904
Country	:	US
Telephone Number	:	813-877-6511
Fax Number	:	813-872-5695

Provider Business Practice Location Address
First Line	:	508 S HABANA AVE
Second Line	:	SUITE 160
City	:	TAMPA
State	:	FL
Zip	:	33609-4181
Country	:	US
Telephone Number	:	813-877-6511
Fax Number	:	813-872-5695

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

Provider Enumeration Date	:	04/01/2006
Last Update Date	:	03/09/2010

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Directions to “ BERNARD D STEIN M.D.” Practice Location

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