Knezevich, Steven
Knezevich, Steven is an sole proprietor health care provider with primary practice located at 3820 Northdale Blvd Ste 105A, Tampa FL 33624-1834. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Knezevich, Steven can be contacted via phone (813) 960-1655.Contact Information
Primary practice address
3820 Northdale Blvd Ste 105A
Tampa FL 33624-1834
Phone: (813) 960-1655
Fax: (813) 960-3681
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | 593072246 | Florida |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 593072246 | Florida |
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 593072246 | Florida |
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 593072246 | Florida |
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 593072246 | Florida |
Profile Details
NPI number | 1457356701 |
---|---|
LBN Legal business name | Knezevich, Steven |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 14th, 2005 |
Last updated | Jan 12th, 2012 - about 13 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 | 1457356701 | NPPES |
Florida | Other | 593072246 | COMMERCIAL CARRIERS |
Florida | Other | 12696 | COMMERCIAL CARRIERS |
Florida | Other | ME0060554 | COMMERCIAL CARRIERS |
Florida | MEDICAID | 056274200 | COMMERCIAL CARRIERS |
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