Provider Demographics
NPI:1578664611
Name:STEIN ORTHOPEDIC ASSOCIATES PA
Entity Type:Organization
Organization Name:STEIN ORTHOPEDIC ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-581-8585
Mailing Address - Street 1:6766 W SUNRISE BLVD
Mailing Address - Street 2:SUITE 100A
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6072
Mailing Address - Country:US
Mailing Address - Phone:954-581-8585
Mailing Address - Fax:954-316-4969
Practice Address - Street 1:6766 W SUNRISE BLVD
Practice Address - Street 2:SUITE 100A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6072
Practice Address - Country:US
Practice Address - Phone:954-581-8585
Practice Address - Fax:954-316-4969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME12459202C00000X, 207X00000X, 208VP0000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical ExaminerGroup - Single Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL159545900OtherDEPT OF LABOR
FL06985OtherBLUE CROSS BLUE SHIELD
FLD61455Medicare UPIN
FL06985OtherBLUE CROSS BLUE SHIELD