Provider Demographics
NPI:1366506297
Name:STEINHART HEALTH QUEST PA
Entity type:Organization
Organization Name:STEINHART HEALTH QUEST PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLIFFORF
Authorized Official - Middle Name:A
Authorized Official - Last Name:KINDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-497-4000
Mailing Address - Street 1:3661 S. MIAMI AVENUE
Mailing Address - Street 2:SUITE 806
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4214
Mailing Address - Country:US
Mailing Address - Phone:786-497-4000
Mailing Address - Fax:305-859-7313
Practice Address - Street 1:3661 S. MIAMI AVENUE
Practice Address - Street 2:SUITE 806
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4214
Practice Address - Country:US
Practice Address - Phone:786-497-4000
Practice Address - Fax:305-859-7313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 78651207R00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377356600Medicaid
FL377356600Medicaid