| Steven D. Fayne, M.d. P.a. | |
|
8890 W Oakland Park Blvd 100 Sunrise FL 33351-7235 | |
| (954) 741-3305 | |
| (954) 741-3306 |
| Full Name | Steven D. Fayne, M.d. P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8890 W Oakland Park Blvd, Sunrise, Florida |
| Authorized Official Name and Position | Shawn Bradley (OFFICE MANAGER) |
| Authorized Official Contact | 9547413305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven D. Fayne, M.d. P.a. 8890 W Oakland Park Blvd 100 Sunrise FL 33351-7235 Ph: (954) 741-3305 | Steven D. Fayne, M.d. P.a. 8890 W Oakland Park Blvd 100 Sunrise FL 33351-7235 Ph: (954) 741-3305 |
| NPI Number | 1720385362 |
|---|---|
| Provider Enumeration Date | 02/17/2011 |
| Last Update Date | 02/17/2011 |
| Medicare PECOS PAC ID | 9133306780 |
|---|---|
| Medicare Enrollment ID | O20110607000678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720385362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME0042650 (Florida) | Primary |
| Provider Name | Donald J Zeller |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154360733 PECOS PAC ID: 7618003815 Enrollment ID: I20100326000650 |
| Provider Name | Steven D Fayne |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821092701 PECOS PAC ID: 4789754706 Enrollment ID: I20110607000694 |
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