Provider Demographics
NPI:1477042661
Name:STEIN, WILLIAM MARCUS (BSW, TCM SUPERVISOR)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MARCUS
Last Name:STEIN
Suffix:
Gender:M
Credentials:BSW, TCM SUPERVISOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1703 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-7000
Mailing Address - Country:US
Mailing Address - Phone:407-881-3669
Mailing Address - Fax:
Practice Address - Street 1:1703 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7000
Practice Address - Country:US
Practice Address - Phone:407-881-3669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator