| Neurology Associates-tonya Stephenson, Md Llc | |
|
517d Riviera St Venice FL 34285-2827 | |
| (941) 248-5196 | |
| Not Available |
| Full Name | Neurology Associates-tonya Stephenson, Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 517d Riviera St, Venice, Florida |
| Authorized Official Name and Position | Tonya Stephenson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2156663059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates-tonya Stephenson, Md Llc 517d Riviera St Venice FL 34285-2827 Ph: (941) 248-5196 | Neurology Associates-tonya Stephenson, Md Llc 517d Riviera St Venice FL 34285-2827 Ph: (941) 248-5196 |
| NPI Number | 1164159679 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Medicare PECOS PAC ID | 2264808401 |
|---|---|
| Medicare Enrollment ID | O20221013001125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164159679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Tonya Marie Ditrapani Stephenson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093754863 PECOS PAC ID: 4981689627 Enrollment ID: I20120529000285 |
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