Kreitzer, Stephen Mordecai

Kreitzer, Stephen Mordecai is an sole proprietor health care provider with primary practice located at 2919 W Swann Ave Suite 105, Tampa FL 33609-4038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Kreitzer, Stephen Mordecai can be contacted via phone (813) 877-5337.

Contact Information

Primary practice address
2919 W Swann Ave Suite 105 Tampa FL 33609-4038
Phone: (813) 877-5337
Fax: (813) 872-0284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME0022412 Florida

Profile Details

NPI number 1659337491
LBN Legal business name Kreitzer, Stephen Mordecai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Nov 18th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659337491 NPPES
Florida MEDICAID 03176900
Florida Other 290013562
Florida Other 29895
Florida Other 21066038

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