Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS13987 | FL |
N | 207Q00000X | Family Doctor | OS13987 | FL |
NPI | 1265834063 |
---|---|
Provider Name | Dr. Steven Ma |
First Address | Pembroke Pines, FL 33026-5206 |
Second Address | Pembroke Pines, FL 33026-5206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2014 |
Last Update Date | 13/06/2019 |