Provider Demographics
NPI:1427159995
Name:STEIN, REYNOLD MONTAGUE (MD)
Entity type:Individual
Prefix:MR
First Name:REYNOLD
Middle Name:MONTAGUE
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:625 NE 173RD TER
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-2039
Mailing Address - Country:US
Mailing Address - Phone:305-653-4531
Mailing Address - Fax:305-949-8818
Practice Address - Street 1:701 SW 27TH AVE
Practice Address - Street 2:SUITE 701
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3031
Practice Address - Country:US
Practice Address - Phone:305-595-9920
Practice Address - Fax:305-595-9904
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
FL35641207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD63478Medicare UPIN