Provider Demographics
NPI:1336112564
Name:SHEINBAUM, WILLIAM M (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:M
Last Name:SHEINBAUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7401 N UNIVERSITY DR
Mailing Address - Street 2:STE 204
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2979
Mailing Address - Country:US
Mailing Address - Phone:954-721-6200
Mailing Address - Fax:954-721-6215
Practice Address - Street 1:7401 N UNIVERSITY DR
Practice Address - Street 2:STE 204
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2979
Practice Address - Country:US
Practice Address - Phone:954-721-6200
Practice Address - Fax:954-721-6215
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0059768207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
F39483Medicare UPIN
FL18570Medicare ID - Type Unspecified