# G STEPHEN IGEL MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366401895
- **Authorized official:** DR. GUSTAVE STEPHEN IGEL M.D. (PRESIDENT)
- **Authorized official phone:** (727) 461-7611

## Contact information

- **Practice address:** 600 LAKEVIEW RD, SUITE 2D, CLEARWATER, FL 33756-3355
- **Practice address phone:** (727) 461-7611
- **Practice address fax:** (727) 461-2860
- **Mailing address:** 600 LAKEVIEW RD, SUITE 2D, CLEARWATER, FL 33756-3355
- **Mailing address phone:** (727) 461-7611
- **Mailing address fax:** (727) 461-2860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME0038869 | FL | Yes |

## Other

- **Enumeration date:** 03/22/2006
- **Last updated:** 06/28/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 065777800 | — | FL |