Provider Demographics
NPI:1376545210
Name:STEINBERG, PAUL SCOTT (DPM)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SCOTT
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 SE 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2521
Mailing Address - Country:US
Mailing Address - Phone:352-351-0220
Mailing Address - Fax:352-351-5491
Practice Address - Street 1:38 SE 16TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2521
Practice Address - Country:US
Practice Address - Phone:352-351-0220
Practice Address - Fax:352-351-5491
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 0002488213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390288900Medicaid
480020734Medicare PIN
FLU58067Medicare UPIN
FL390288900Medicaid
FL65374Medicare PIN