| Michelle H Stevens Md Pa | |
|
1200 Henley Lane Baker FL 32531 | |
| (850) 537-8555 | |
| (850) 537-8515 |
| Full Name | Michelle H Stevens Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Henley Lane, Baker, Florida |
| Authorized Official Name and Position | Michelle Helena Stevens (OWNER PHYSICIAN) |
| Authorized Official Contact | 8505378555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle H Stevens Md Pa 1200 Henley Lane Baker FL 32531 Ph: (850) 537-8555 | Michelle H Stevens Md Pa 1200 Henley Lane Baker FL 32531 Ph: (850) 537-8555 |
| NPI Number | 1669569257 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669569257 | NPI | - | NPPES |
| 03170 | Other | BCBS | |
| 279211 | Other | WELLCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME82296 (Florida) | Primary |
Baker Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Georgia Ave, Baker, FL 32531 Phone: 850-537-2700 Fax: 850-537-2702 |