Renae, Stephen A.

Renae, Stephen A. is an sole proprietor health care provider with primary practice located at 3012 E Commercial Blvd , Fort Lauderdale FL 33308-4356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Renae, Stephen A. can be contacted via phone (954) 776-9992.

Contact Information

Primary practice address
3012 E Commercial Blvd Fort Lauderdale FL 33308-4356
Phone: (954) 776-9992
Fax: (954) 776-9993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME0063353 Florida
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X ME0063353 Florida

Profile Details

NPI number 1841296670
LBN Legal business name Renae, Stephen A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Jun 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841296670 NPPES
Florida MEDICAID 372037300

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