Healthcare Provider Details

I. General information

NPI: 1164736831
Provider Name (Legal Business Name): DANIEL P. STEIN, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2010
Last Update Date: 04/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5602 MARQUESAS CIR STE 108
SARASOTA FL
34233-3343
US

IV. Provider business mailing address

5602 MARQUESAS CIR STE 108
SARASOTA FL
34233-3343
US

V. Phone/Fax

Practice location:
  • Phone: 941-921-1546
  • Fax: 941-921-5673
Mailing address:
  • Phone: 941-921-1546
  • Fax: 941-921-5673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberME63693
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. DANIEL P. STEIN
Title or Position: PRESIDENT
Credential: MD
Phone: 941-400-1211