Healthcare Provider Details

I. General information

NPI: 1013133453
Provider Name (Legal Business Name): ROBERT D STEIN DC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 08/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9841 PINES BLVD
PEMBROKE PINES FL
33024-6100
US

IV. Provider business mailing address

9841 PINES BLVD
PEMBROKE PINES FL
33024-6100
US

V. Phone/Fax

Practice location:
  • Phone: 954-437-5414
  • Fax: 954-435-9627
Mailing address:
  • Phone: 954-437-5414
  • Fax: 954-435-9627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH0006101
License Number StateFL

VIII. Authorized Official

Name: DR. ROBERT D STEIN
Title or Position: OWNER
Credential: D C
Phone: 954-437-5414