Provider Demographics
NPI:1588926505
Name:STEINBERG, ELIZABETH HARRIS (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HARRIS
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 NW 49TH ST STE 125
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3750
Mailing Address - Country:US
Mailing Address - Phone:954-217-5720
Mailing Address - Fax:954-217-6110
Practice Address - Street 1:2300 N COMMERCE PKWY STE 303
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3256
Practice Address - Country:US
Practice Address - Phone:954-217-5720
Practice Address - Fax:954-217-6110
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME141761208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104190600Medicaid