| Mary L Stedman Md Pa | |
|
14506 University Point Pl Tampa FL 33613 | |
| (813) 971-8311 | |
| Not Available |
| Full Name | Mary L Stedman Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14506 University Point Pl, Tampa, Florida |
| Authorized Official Name and Position | Mary L Stedman (OWNER) |
| Authorized Official Contact | 8139718311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary L Stedman Md Pa 14506 University Point Pl Tampa FL 33613-5425 Ph: (813) 971-8311 | Mary L Stedman Md Pa 14506 University Point Pl Tampa FL 33613 Ph: (813) 971-8311 |
| NPI Number | 1538401492 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 07/23/2018 |
| Medicare PECOS PAC ID | 5597903096 |
|---|---|
| Medicare Enrollment ID | O20130522000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538401492 | NPI | - | NPPES |
| ME54031 | Other | FL | MEDICAL LICENSE |
| 15257 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME54031 (Florida) | Primary |
| Provider Name | Mary L Stedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457304644 PECOS PAC ID: 0143243121 Enrollment ID: I20060104000956 |
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