Provider Demographics
NPI:1366564726
Name:JOSHUA Z STEINER DO PA
Entity type:Organization
Organization Name:JOSHUA Z STEINER DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-989-3100
Mailing Address - Street 1:4430 SHERIDAN ST
Mailing Address - Street 2:STE A
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3546
Mailing Address - Country:US
Mailing Address - Phone:954-989-3100
Mailing Address - Fax:954-989-1180
Practice Address - Street 1:4430 SHERIDAN ST
Practice Address - Street 2:STE A
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3546
Practice Address - Country:US
Practice Address - Phone:954-989-3100
Practice Address - Fax:954-989-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8466207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL37894ZMedicare ID - Type Unspecified