Stephens, Michael Anthony

Stephens, Michael Anthony is an individual health care provider with primary practice located at 440 Kingsley Ave , Orange Park FL 32073-4828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stephens, Michael Anthony can be contacted via phone (904) 264-9293.

Contact Information

Primary practice address
440 Kingsley Ave Orange Park FL 32073-4828
Phone: (904) 264-9293
Fax: (904) 264-7553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME64230 Florida

Profile Details

NPI number 1801888607
LBN Legal business name Stephens, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Dec 31st, 2018 - about 8 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 1801888607 NPPES
Florida Other P00469531 RAILROAD MEDICARE

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