Provider Demographics
NPI:1548417009
Name:FOX, STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:FOX
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 1:401 OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:GOLDEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2213
Mailing Address - Country:US
Mailing Address - Phone:954-732-7651
Mailing Address - Fax:305-682-9701
Practice Address - Street 1:401 OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:GOLDEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-2213
Practice Address - Country:US
Practice Address - Phone:954-732-7651
Practice Address - Fax:305-682-9701
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 27681207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease