Individual
DR. IRA MICHAEL STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13005 SOUTHERN BLVD, BUILDING 1, SUITE 124, LOXAHATCHEE, FL 33470-9206
(561) 204-4240
(561) 204-4242
Mailing address
13005 SOUTHERN BLVD, BUILDING 1, SUITE 124, LOXAHATCHEE, FL 33470-9206
(561) 204-4240
(561) 204-4242
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME78470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256820900
—
FL
Enumeration date
02/24/2006
Last updated
10/09/2012
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