| Joel D Stein, D.o., P.a | |
|
4109 N Federal Hwy Fort Lauderdale FL 33308-5530 | |
| (954) 563-2707 | |
| (954) 563-7009 |
| Full Name | Joel D Stein, D.o., P.a |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4109 N Federal Hwy, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Rick P Wetherington (ADMINISTRATOR) |
| Authorized Official Contact | 9545401031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel D Stein, D.o., P.a 4109 N Federal Hwy Fort Lauderdale FL 33308-5530 Ph: (954) 563-2707 | Joel D Stein, D.o., P.a 4109 N Federal Hwy Fort Lauderdale FL 33308-5530 Ph: (954) 563-2707 |
| NPI Number | 1124218037 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 09/19/2024 |
| Medicare PECOS PAC ID | 6709829427 |
|---|---|
| Medicare Enrollment ID | O20050603000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124218037 | NPI | - | NPPES |
| Provider Name | Steven Licata |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1508874439 PECOS PAC ID: 0749472116 Enrollment ID: I20101005000306 |
| Provider Name | Joel D Stein |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1831107036 PECOS PAC ID: 9335182054 Enrollment ID: I20101123000497 |
| Provider Name | Jack M Trainor Ii |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033155171 PECOS PAC ID: 8729000161 Enrollment ID: I20101211000025 |
| Provider Name | Trevine Roshan Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750736849 PECOS PAC ID: 9931461738 Enrollment ID: I20180314001503 |
| Provider Name | John S Maarouf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497174478 PECOS PAC ID: 1658679972 Enrollment ID: I20180412002244 |
| Provider Name | Jesse A Kemmerlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841659786 PECOS PAC ID: 1355670142 Enrollment ID: I20190903003072 |
| Provider Name | Ahmed Micah Elfarrah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235651316 PECOS PAC ID: 7618301862 Enrollment ID: I20191223000906 |
| Provider Name | Kelsie Carrier |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1396309753 PECOS PAC ID: 3678976727 Enrollment ID: I20210727001573 |
| Provider Name | Robert H Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265923841 PECOS PAC ID: 0446637524 Enrollment ID: I20220510002552 |
| Provider Name | Matthew J Goddard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881254944 PECOS PAC ID: 0547624017 Enrollment ID: I20230918000080 |
| Provider Name | Rachel A Jeter |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1659959427 PECOS PAC ID: 4981134582 Enrollment ID: I20250212001400 |
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