Vernon, Stephen G

Vernon, Stephen G is an individual health care provider with primary practice located at 1425 S Us 301 , Sumterville FL 33585-5141. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Vernon, Stephen G can be contacted via phone (352) 793-5900.

Contact Information

Primary practice address
1425 S Us 301 Sumterville FL 33585-5141
Phone: (352) 793-5900
Fax: (352) 793-6269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS12788 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS12788 Florida

Profile Details

NPI number 1174502801
LBN Legal business name Vernon, Stephen G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Mar 15th, 2016 - about 10 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 1174502801 NPPES
Florida MEDICAID 014061400
Florida MEDICAID 795005500

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