Provider Demographics
NPI:1831284165
Name:STEINBERG, STEPHEN EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:EDWARD
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12953 PALMS WEST DRIVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470
Mailing Address - Country:US
Mailing Address - Phone:561-795-5130
Mailing Address - Fax:561-795-4160
Practice Address - Street 1:5511 S. CONGRESS AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462
Practice Address - Country:US
Practice Address - Phone:561-795-5130
Practice Address - Fax:561-795-4160
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME93782207RG0100X
CO32107207RG0100X
CAG87680207RG0100X
NY168308207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2795868Medicaid
C12244Medicare UPIN
JE46191Medicare ID - Type Unspecified
FL2795868Medicaid