Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CH6101 | FL |
NPI | 1255467460 |
---|---|
Provider Name | Dr. Robert David Stein |
First Address | Hollywood, FL 33021-2816 |
Second Address | Pembroke Pines, FL 33024-6100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2007 |
Last Update Date | 12/06/2015 |