Pelham, Stephen G

Pelham, Stephen G is an individual health care provider with primary practice located at 3909 E Bay Dr Suite 100, Holmes Beach FL 34217-1997. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pelham, Stephen G can be contacted via phone (941) 778-1007.

Contact Information

Primary practice address
3909 E Bay Dr Suite 100 Holmes Beach FL 34217-1997
Phone: (941) 778-1007
Fax: (941) 778-9256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME36812 Florida

Profile Details

NPI number 1073508206
LBN Legal business name Pelham, Stephen G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Mar 31st, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073508206 NPPES
Florida MEDICAID 065258000
Florida Other 51125
Florida Other 80124988

Popular Providers