ELLIOTT A STEIN MD PA
Osteopathic Medicine at Biscayne Blvd, Miami, FL

License number
Florida ME 49870
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. ELLIOTT A STEIN MD PA
Title: OWNER
Phone: (305) 933-8966
Address
Address
21110 Biscayne Blvd STE 404, Miami, FL 33180
National Provider ID: 1851610489
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ELLIOTT A. STEIN, M.D., PA

21110 Biscayne Blvd #404, Miami, FL 33180

Status:
Inactive
Industry:
Internal Medicine Doctor
Inactive reason:
REINSTATEMENT
Registration:
Apr 15, 1991
Inactive since:
Nov 15, 2014
Phone:
(305) 933-8966 (Phone)
State ID:
S45172
Business type:
Florida Profit Corporation
Presidents:
Stein, Elliott A, M.d, 21110 Biscayne Blvd #404, Miami, FL 33180 (Physical),Elliott A. Stein (President)
Agent:
Levi, Allen,20590 W Dixie Hwy, Miami, FL 33180 (Physical)
EIN:
650258504

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