MEDICARE: DR. JAY G STEIN M.D., P.A.

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	207X00000X	Orthopaedic Surgery Physician	ME015507	FL

General Provider Information

NPI Number	:	1366474587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAY G STEIN M.D., P.A.

Provider Business Mailing Address
First Line	:	209 NE 95TH ST
Second Line	:	SUITE 8
City	:	MIAMI SHORES
State	:	FL
Zip	:	33138-2745
Country	:	US
Telephone Number	:	305-751-2850
Fax Number	:	305-751-6148

Provider Business Practice Location Address
First Line	:	209 NE 95TH ST
Second Line	:	SUITE 8
City	:	MIAMI SHORES
State	:	FL
Zip	:	33138-2745
Country	:	US
Telephone Number	:	305-751-2850
Fax Number	:	305-751-6148

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	12/02/2010

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