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Individual
MR. STEPHEN TRACY MEARS
Active
Individual
MR. STEPHEN TRACY MEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9218997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002110000
—
FL
01
—
1043535396-01
PRESTIGE
FL
01
—
1390773509
DOT REGISTRY
FL
01
—
941282
STAYWELL/WELLCARE
FL
01
—
DB827Z
MEDICARE PTAN
FL
01
—
Y03X8
BLUECROSS BLUESHIELD FLORIDA
FL
Enumeration date
03/30/2010
Last updated
08/12/2021
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