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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841296670 | NPPES |
| Florida | MEDICAID | 372037300 |
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