Healthcare Provider Details

I. General information

NPI: 1558500835
Provider Name (Legal Business Name): STEPHEN M SINKOE DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 03/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 S FLAMINGO RD SUITE 204
COOPER CITY FL
33330-2703
US

IV. Provider business mailing address

5500 S FLAMINGO RD SUITE 204
COOPER CITY FL
33330-2703
US

V. Phone/Fax

Practice location:
  • Phone: 954-434-3221
  • Fax: 954-434-2491
Mailing address:
  • Phone: 954-434-3221
  • Fax: 954-434-2491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO1726
License Number StateFL

VIII. Authorized Official

Name: STEPHEN SINKOE
Title or Position: OWNER
Credential: DPM
Phone: 954-434-3221