Individual
DR. STEPHEN A. RENAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3012 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4356
(954) 776-9992
(954) 776-9993
Mailing address
PO BOX 1000 DEPT 394, MEMPHIS, TN 38148-0001
(941) 300-4440
(941) 404-1760
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0063353
FL
261Q00000X
Clinic/Center
ME0063353
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372037300
—
FL
Enumeration date
06/27/2005
Last updated
04/04/2025
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