Defortuna, Stella M
Defortuna, Stella M is an individual health care provider with primary practice located at 1200 7Th Ave N , St Petersburg FL 33705-1300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Defortuna, Stella M can be contacted via phone (727) 328-7800.Contact Information
Primary practice address
1200 7Th Ave N
St Petersburg FL 33705-1300
Phone: (727) 328-7800
Fax: (727) 328-9555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | ME0055088 | Florida |
Profile Details
| NPI number | 1083711618 |
|---|---|
| LBN Legal business name | Defortuna, Stella M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Mar 23rd, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083711618 | NPPES |
| Florida | MEDICAID | 064957100 |
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