Moenning, Stephen P

Moenning, Stephen P is an individual health care provider with primary practice located at 12550 New Brittany Blvd Ste 201 , Fort Myers FL 33907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Moenning, Stephen P can be contacted via phone (239) 343-9190.

Contact Information

Primary practice address
12550 New Brittany Blvd Ste 201 Fort Myers FL 33907
Phone: (239) 343-9190
Fax: (239) 343-9193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X ME46778 Florida

Profile Details

NPI number 1316979214
LBN Legal business name Moenning, Stephen P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 23rd, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316979214 NPPES
Florida MEDICAID 271843000

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