Basic Information
| Provider Information | |||||||||
| NPI: | 1346412269 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STUART E SINOFF, M.D.P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1324 SEVEN SPRINGS BLVD | ||||||||
| Address2: | PMB 162 | ||||||||
| City: | NEW PORT RICHEY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346555635 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7274627000 | ||||||||
| FaxNumber: | 7274618648 | ||||||||
| Practice Location | |||||||||
| Address1: | 430 MORTON PLANT ST | ||||||||
| Address2: | SUITE 401 | ||||||||
| City: | CLEARWATER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337563398 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7274627000 | ||||||||
| FaxNumber: | 7274618648 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2008 | ||||||||
| LastUpdateDate: | 04/03/2008 | ||||||||
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| AuthorizedOfficialLastName: | SINOFF | ||||||||
| AuthorizedOfficialFirstName: | STUART | ||||||||
| AuthorizedOfficialMiddleName: | E | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7274627000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | ME64405 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
ID Information
| ID | Type | State | Issuer | Description | 373374200 | 05 | FL | MEDICAID |