| Stetho Md Llc | |
|
1707 E Bearss Ave Tampa FL 33613 | |
| (813) 550-0000 | |
| (813) 800-9555 |
| Full Name | Stetho Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1707 E Bearss Ave, Tampa, Florida |
| Authorized Official Name and Position | Farhana Rahman (OWNER/PRESIDENT) |
| Authorized Official Contact | 8135500000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stetho Md Llc 1707 E Bearss Ave Tampa FL 33613 Ph: (813) 550-0000 | Stetho Md Llc 1707 E Bearss Ave Tampa FL 33613 Ph: (813) 550-0000 |
| NPI Number | 1184250490 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 07/13/2022 |
| Medicare PECOS PAC ID | 6204249733 |
|---|---|
| Medicare Enrollment ID | O20201230001259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184250490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Farhana Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033484266 PECOS PAC ID: 8921313099 Enrollment ID: I20150818005977 |
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