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NPI Code Detail

MEDICARE: STEVEN DAVID FAYNE M.D.

MEDICARE:   STEVEN DAVID FAYNE  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
1207RG0100XGastroenterology PhysicianME42650FL

General Provider Information

NPI Number : 1821092701
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN DAVID FAYNE M.D.
Provider Business Mailing Address
First Line : 8890 W OAKLAND PARK BLVD
Second Line : STE 100
City : SUNRISE
State : FL
Zip : 33351-7223
Country : US
Telephone Number : 954-741-3305
Fax Number : 954-741-3306
Provider Business Practice Location Address
First Line : 8890 W OAKLAND PARK BLVD
Second Line : STE 100
City : SUNRISE
State : FL
Zip : 33351-7223
Country : US
Telephone Number : 954-741-3305
Fax Number : 954-741-3306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/08/2007

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Directions to “ STEVEN DAVID FAYNE M.D.” Practice Location

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