Stallworth, Dexter G

Stallworth, Dexter G is an individual health care provider with primary practice located at 3301 Alumni Dr , Tampa FL 33612-9413. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Stallworth, Dexter G can be contacted via phone (813) 972-3351.

Contact Information

Primary practice address
3301 Alumni Dr Tampa FL 33612-9413
Phone: (813) 972-3351
Fax: (813) 903-9541
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X CERTIFICATION #40560 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME66429 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 118129 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X North Carolina

Profile Details

NPI number 1992788947
LBN Legal business name Stallworth, Dexter G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jul 9th, 2007 - about 17 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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