Provider Demographics
NPI:1487640975
Name:KULVIN, STEPHEN MAIER (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MAIER
Last Name:KULVIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4300 ALTON RD
Mailing Address - Street 2:EYE DEPT
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2800
Mailing Address - Country:US
Mailing Address - Phone:305-674-2047
Mailing Address - Fax:305-674-2939
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:EYE DEPT
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2800
Practice Address - Country:US
Practice Address - Phone:305-674-2047
Practice Address - Fax:305-674-2939
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2007-11-16
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Provider Licenses
StateLicense IDTaxonomies
FL12339207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL90809ZMedicare ID - Type UnspecifiedMEDICARE PROVIDER #
FLD59377Medicare UPIN