Provider Demographics
NPI:1699715912
Name:CHRISTIE, STEVEN A (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:CHRISTIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9350 SUNSET DR
Mailing Address - Street 2:STE 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3286
Mailing Address - Country:US
Mailing Address - Phone:786-594-4210
Mailing Address - Fax:786-594-4300
Practice Address - Street 1:9035 SUNSET DR
Practice Address - Street 2:STE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3484
Practice Address - Country:US
Practice Address - Phone:305-598-4710
Practice Address - Fax:305-598-4733
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 742752085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261804400Medicaid
FL05036OtherMEDICARE PROVIDER NUMBER
FL261804400Medicaid