Tannenbaum, Stephen

Tannenbaum, Stephen is an individual health care provider with primary practice located at 21150 Biscayne Blvd 404, Aventura FL 33180-1226. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Tannenbaum, Stephen can be contacted via phone (305) 466-9111.

Contact Information

Primary practice address
21150 Biscayne Blvd 404 Aventura FL 33180-1226
Phone: (305) 466-9111
Fax: (305) 466-9127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X : ME80333 Florida
Allopathic & Osteopathic Physicians / Urology 208800000X ME0080333 Florida

Profile Details

NPI number 1780648220
LBN Legal business name Tannenbaum, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated May 2nd, 2016 - about 8 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 1780648220 NPPES
Florida Other P00614895 RR MEDICARE
Florida Other 03283 RR MEDICARE
Florida Other 1193485 RR MEDICARE
Florida Other 0486638 RR MEDICARE
Florida MEDICAID 260392600 RR MEDICARE
Florida Other P0003168 RR MEDICARE
Florida Other 10719 RR MEDICARE
Florida Other 7755456 RR MEDICARE
Florida Other 1072583 RR MEDICARE
Florida Other P01720866 RR MEDICARE

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