Healthcare Provider Details

I. General information

NPI: 1578664611
Provider Name (Legal Business Name): STEIN ORTHOPEDIC ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 04/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6766 W SUNRISE BLVD SUITE 100A
PLANTATION FL
33313-6072
US

IV. Provider business mailing address

6766 W SUNRISE BLVD SUITE 100A
PLANTATION FL
33313-6072
US

V. Phone/Fax

Practice location:
  • Phone: 954-581-8585
  • Fax: 954-316-4969
Mailing address:
  • Phone: 954-581-8585
  • Fax: 954-316-4969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME12459
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME12459
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License NumberME12459
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberME12459
License Number StateFL

VIII. Authorized Official

Name: DR. ALVIN STEIN
Title or Position: OWNER
Credential: M.D.
Phone: 954-581-8585