Main St Medical Usa

LBN: Main St Medical Usa
Main St Medical Usa is an health care organization with primary practice located at 11734 North Dale Mabry , Tampa FL 33618. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Main St Medical Usa can be contacted via phone (813) 968-6000, or through Stefano, Stephen Allen via phone (813) 968-6000.

Contact Information

Primary practice address
11734 North Dale Mabry Tampa FL 33618
Phone: (813) 968-6000
Fax: (813) 968-6007
Website:
Map and Directions
Authorized official contact:
Name: Stefano, Stephen Allen Doctor of Medicine (MD)
Phone: (813) 968-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1003039033
LBN Legal business name Main St Medical Usa
DBA Doing business as
Authorized official Stefano, Stephen Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Sep 24th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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