Provider Demographics
NPI:1376712208
Name:STEPHEN M. SINKOE, DPM, PA
Entity Type:Organization
Organization Name:STEPHEN M. SINKOE, DPM, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SINKOE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:954-434-3221
Mailing Address - Street 1:5500 S FLAMINGO RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33330-2703
Mailing Address - Country:US
Mailing Address - Phone:954-434-3221
Mailing Address - Fax:954-434-2491
Practice Address - Street 1:5500 S FLAMINGO RD
Practice Address - Street 2:SUITE 204
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33330-2703
Practice Address - Country:US
Practice Address - Phone:954-434-3221
Practice Address - Fax:954-434-2491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
213E00000X
FLPO1726332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3898790001Medicare NSC