Organization
IRA M. STEIN, M.D., L.L.C
Active
Other names
Pediatric ENT of the Palm Beaches
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA MICHAEL STEIN M.D. (MANAGER)
(561) 204-4240
Entity
Organization
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
ME0078470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285600791
NPI -INDIVIDUAL
FL
Enumeration date
05/10/2007
Last updated
02/08/2008
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