Healthcare Provider Details

I. General information

NPI: 1073915484
Provider Name (Legal Business Name): SEIN LWIN, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2014
Last Update Date: 09/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SE 17TH ST SUITE 2R
FT LAUDERDALE FL
33316-2550
US

IV. Provider business mailing address

300 SE 17TH ST SUITE 2R
FT LAUDERDALE FL
33316-2550
US

V. Phone/Fax

Practice location:
  • Phone: 954-525-3000
  • Fax: 954-525-3033
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 NumberME32464
License Number StateFL

VIII. Authorized Official

Name: DR. SEIN LWIN
Title or Position: OWNER
Credential: M.D.
Phone: 954-525-3000