Provider Demographics
NPI:1700847530
Name:STEKLOFF, SHELDON HARVEY (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:HARVEY
Last Name:STEKLOFF
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 1:7491 N FEDERAL HWY
Mailing Address - Street 2:SUITEC5-178
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-1625
Mailing Address - Country:US
Mailing Address - Phone:561-347-5991
Mailing Address - Fax:561-347-5991
Practice Address - Street 1:7491 N FEDERAL HWY STE C5-178
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-1625
Practice Address - Country:US
Practice Address - Phone:561-347-5991
Practice Address - Fax:561-347-5991
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1792207L00000X
NC19828207L00000X
PAMD039311E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010143641Medicaid
VA010143641Medicaid
C86592Medicare UPIN