Stevenson, Frazier T.

Stevenson, Frazier T. is an sole proprietor health care provider with primary practice located at 12901 Bruce B Downs Blvd Mdc54 Usf Com, Tampa FL 33612-4742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Stevenson, Frazier T. can be contacted via phone (813) 974-7131.

Contact Information

Primary practice address
12901 Bruce B Downs Blvd Mdc54 Usf Com Tampa FL 33612-4742
Phone: (813) 974-7131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G059677 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME 107406 Florida

Profile Details

NPI number 1114902657
LBN Legal business name Stevenson, Frazier T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Jul 14th, 2010 - 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 1114902657 NPPES
California Other G059677 MEDICAL LICENSE
California Other ME 107406 MEDICAL LICENSE

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