Healthcare Provider Details

I. General information

NPI: 1639374267
Provider Name (Legal Business Name): SCOTT CURTIS STEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 W SAMPLE RD
POMPANO BEACH FL
33064-3542
US

IV. Provider business mailing address

5 W SAMPLE RD
POMPANO BEACH FL
33064-3542
US

V. Phone/Fax

Practice location:
  • Phone: 954-782-1700
  • Fax: 954-782-7490
Mailing address:
  • Phone: 954-782-1700
  • Fax: 954-782-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME16529
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: