MEDICARE: BETHEL SUSAN STEINDEL-SPARGO MD

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	2080P0205X	Pediatric Endocrinology Physician	ME76772	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205820743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETHEL SUSAN STEINDEL-SPARGO MD

Provider Business Mailing Address
First Line	:	2900 CORPORATE WAY
Second Line	:	DOOR D
City	:	MIRAMAR
State	:	FL
Zip	:	33025-3925
Country	:	US
Telephone Number	:	954-276-5685
Fax Number	:	954-985-7074

Provider Business Practice Location Address
First Line	:	1951 SW 172ND AVE STE 204
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5613
Country	:	US
Telephone Number	:	954-538-4621
Fax Number	:	954-538-4629

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

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	05/04/2023

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