Kreitzer, Stephen Mordecai
Kreitzer, Stephen Mordecai is an sole proprietor health care provider with primary practice located at 2919 W Swann Ave Suite 105, Tampa FL 33609-4038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Kreitzer, Stephen Mordecai can be contacted via phone (813) 877-5337.Contact Information
Primary practice address
2919 W Swann Ave Suite 105
Tampa FL 33609-4038
Phone: (813) 877-5337
Fax: (813) 872-0284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME0022412 | Florida |
Profile Details
| NPI number | 1659337491 |
|---|---|
| LBN Legal business name | Kreitzer, Stephen Mordecai |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Nov 18th, 2009 - about 16 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 | 1659337491 | NPPES |
| Florida | MEDICAID | 03176900 | |
| Florida | Other | 290013562 | |
| Florida | Other | 29895 | |
| Florida | Other | 21066038 |
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