Provider Demographics
NPI:1346243532
Name:STEIN, AARON BENNETT (MD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:BENNETT
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 2266
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2266
Mailing Address - Country:US
Mailing Address - Phone:850-475-2668
Mailing Address - Fax:850-475-2669
Practice Address - Street 1:1549 AIRPORT BLVD
Practice Address - Street 2:SUITE 440
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8633
Practice Address - Country:US
Practice Address - Phone:850-475-2668
Practice Address - Fax:850-475-2669
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 61690208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3700780-01Medicaid
FL3700780-01Medicaid