Provider Demographics
NPI:1396875738
Name:TEMPLIN, STEVEN (DOM)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:TEMPLIN
Suffix:
Gender:M
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 NE 6TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4607
Mailing Address - Country:US
Mailing Address - Phone:954-462-5353
Mailing Address - Fax:954-462-5393
Practice Address - Street 1:513 NE 6TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-4607
Practice Address - Country:US
Practice Address - Phone:954-462-5353
Practice Address - Fax:954-462-5393
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP468171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist