NPI 1003039033

Main St Medical USA

Organisation Addiction Medicine (Internal Medicine) Physician Tampa, FL

Practice location

Address: 11734 North Dale Mabry, Tampa, FL 33618
Phone: (813) 968-6000
Fax: (813) 968-6007

Authorised official

Name: Stephen Allen Stefano
Title: Director MD
Phone: (813) 968-6000

Registered specialties (3)

Addiction Medicine (Internal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RA0401X

Other Internal Medicine providers in Florida →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Florida →

Registry record

NPI: 1003039033
Entity type: Organization
NPI issued: 10 Apr 2007
Record last updated: 24 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.