# STEPHEN A UPDEGRAFF MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UPDEGRAFF VISION LASER AND SURGERY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124020375
- **Authorized official:** DR. STEPHEN UPDEGRAFF MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (727) 822-4287

## Contact information

- **Practice address:** 1601 38TH AVE N, ST PETERSBURG, FL 33713-1926
- **Practice address phone:** (727) 822-4287
- **Practice address fax:** (727) 822-1086
- **Mailing address:** 1601 38TH AVE N, ST PETERSBURG, FL 33713-1926
- **Mailing address phone:** (727) 822-4287
- **Mailing address fax:** (727) 822-1086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 1171 | FL | Yes |
| 332H00000X | Eyewear Supplier | ME67224 | FL | — |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 07/03/2008