Healthcare Provider Details

I. General information

NPI: 1164586293
Provider Name (Legal Business Name): SEIN LWIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SE 17 STREET SUITE 2R
FORT LAUDERDALE FL
33316
US

IV. Provider business mailing address

300 SE 17 STREET SUITE 2R
FORT LAUDERDALE FL
33316
US

V. Phone/Fax

Practice location:
  • Phone: 954-525-3000
  • Fax: 954-525-3000
Mailing address:
  • Phone: 954-525-3000
  • Fax: 954-525-3033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberME0032464
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: