Individual
STEPHEN EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7201 N UNIVERSITY DR, TAMARAC, FL 33321-2913
(954) 781-6422
Mailing address
PO BOX 030548, FORT LAUDERDALE, FL 33303-0548
(954) 781-6422
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME22077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002536540 02
UNITED HLTHCR PIN
FL
01
—
1021806
CAREPLUS HLTH PLAN PIN
FL
01
—
202947
HEALTHEASE PIN
FL
01
—
214355
AMERIGROUP PIN
FL
01
—
280077
AVMED PIN
FL
01
—
498
TOTAL HLTH CHOICE PIN
FL
01
—
650849890D
HUMANA HLTHCR PIN
FL
01
—
7726045
AETNA PIN
FL
01
—
O084766
INTEGRATED HLTH PLAN PIN
FL
01
—
SG067359
VISTA HLTH PLAN PIN
FL
01
—
V2224
BCBS FLORIDA PIN
FL
Enumeration date
03/29/2007
Last updated
07/30/2012
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