MEDICARE: DAVID STEIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1053991505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID STEIN

Provider Business Mailing Address
First Line	:	4801 LINTON BLVD STE 11A
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6582
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 SW 12TH AVE STE 106
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-3114
Country	:	US
Telephone Number	:	516-701-6200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2021
Last Update Date	:	04/09/2021

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Directions to “ DAVID STEIN ” Practice Location

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