Healthcare Provider Details

I. General information

NPI: 1992811996
Provider Name (Legal Business Name): STEPHEN M SINKOE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 954-434-3221
  • Fax: 866-777-5484
Mailing address:
  • Phone: 954-434-3221
  • Fax: 866-777-5484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO0001726
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberPO0001726
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code213ER0200X
TaxonomyRadiology Podiatrist
License NumberPO0001726
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberPO0001726
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO0001726
License Number StateFL
# 6
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO0001726
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: