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Individual
STEPHANIE MINTER
Active
Individual
STEPHANIE MINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
UO5536
FL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
UO5536
FL
225700000X
Massage Therapist
MA48493
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/16/2012
Last updated
11/14/2022
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