Healthcare Provider Details

I. General information

NPI: 1417023110
Provider Name (Legal Business Name): ROGER STEINFELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 04/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 NORTHSIDE DR
KEY WEST FL
33040-4238
US

IV. Provider business mailing address

3401 NORTHSIDE DR
KEY WEST FL
33040-4238
US

V. Phone/Fax

Practice location:
  • Phone: 305-294-8334
  • Fax: 305-371-4444
Mailing address:
  • Phone: 305-294-8334
  • Fax: 305-371-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME116331
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: