Provider Demographics
NPI:1831485614
Name:STEPHEN ESKIN M.D., P.A.
Entity Type:Organization
Organization Name:STEPHEN ESKIN M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-447-6987
Mailing Address - Street 1:PO BOX 347544
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33234-7544
Mailing Address - Country:US
Mailing Address - Phone:305-447-6987
Mailing Address - Fax:305-447-6989
Practice Address - Street 1:2601 SW 37TH AVE STE 805
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2751
Practice Address - Country:US
Practice Address - Phone:305-447-6987
Practice Address - Fax:305-447-6989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 93038207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty