Healthcare Provider Details

I. General information

NPI: 1366506297
Provider Name (Legal Business Name): STEINHART HEALTH QUEST PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 09/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3661 S. MIAMI AVENUE SUITE 806
MIAMI FL
33133-4214
US

IV. Provider business mailing address

3661 S. MIAMI AVENUE SUITE 806
MIAMI FL
33133-4214
US

V. Phone/Fax

Practice location:
  • Phone: 786-497-4000
  • Fax: 305-859-7313
Mailing address:
  • Phone: 786-497-4000
  • Fax: 305-859-7313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME 78651
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME 78651
License Number StateFL

VIII. Authorized Official

Name: DR. CLIFFORF A KINDER
Title or Position: PRESIDENT
Credential: MD
Phone: 786-497-4000