Stephenson, P Dee G

Stephenson, P Dee G is an individual health care provider with primary practice located at 200 Palermo Pl , Venice FL 34285-2820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Stephenson, P Dee G can be contacted via phone (941) 485-1121.

Contact Information

Primary practice address
200 Palermo Pl Venice FL 34285-2820
Phone: (941) 485-1121
Fax: (941) 486-0571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0051453 Florida

Profile Details

NPI number 1114988045
LBN Legal business name Stephenson, P Dee G
Credentials M.D., P.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Mar 24th, 2011 - about 15 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 1114988045 NPPES
Florida Other 058538001 DMERC
Florida Other 07275 DMERC
Florida Other FL0071799 DMERC
Florida Other 624839 DMERC
Florida MEDICAID 063852800 DMERC
Florida Other 650058943 DMERC

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