Mattathil, Stephanie Stephen

Mattathil, Stephanie Stephen is an individual health care provider with primary practice located at 3003 W Dr Mlk Blvd Fl Jrblvd2 , Tampa FL 33607-6307. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is her primary health care specialty. Mattathil, Stephanie Stephen can be contacted via phone (813) 586-8079.

Contact Information

Primary practice address
3003 W Dr Mlk Blvd Fl Jrblvd2 Tampa FL 33607-6307
Phone: (813) 586-8079
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME158898 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME158898 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME158898 Florida
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X ME158898 Florida

Profile Details

NPI number 1225415466
LBN Legal business name Mattathil, Stephanie Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2015
Last updated Mar 17th, 2026 - about 7 months 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 1225415466 NPPES
Florida MEDICAID 115702400

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