DR. STEPHANIE TINE DPM NPI 1326692781

NPI Information

  • NPI: 1326692781
  • Provider Name: DR. STEPHANIE TINE, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4801 N FEDERAL HWY STE 101
    FORT LAUDERDALE, FL
    ZIP 33308
  • Phone: (754) 444-9258

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NPI Details

DR. Stephanie Tine, DPM is a foot and ankle surgery podiatrist in Fort Lauderdale, FL with 7 years of experience. DR. Stephanie Tine, DPM NPI is 1326692781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2019

The provider's business location address is:

4801 N FEDERAL HWY STE 101
FORT LAUDERDALE, FL
ZIP 33308-618
Phone: (754) 444-9258

The NPI 1326692781 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/24/2019 and was last updated on 1/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryE5796CALIFORNIANo
2213ES0103XPodiatristFoot & Ankle SurgeryPO4341FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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