# STEVEN KNEZEVICH, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northside Orthopaedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417251034
- **Authorized official:** STEPHANIE PORTALES (OFFICE MANAGER)
- **Authorized official phone:** (813) 960-1655

## Contact information

- **Practice address:** 3820 NORTHDALE BLVD.,, SUITE 105A, TAMPA, FL 33624-1834
- **Practice address phone:** (813) 960-1655
- **Practice address fax:** (813) 960-3681
- **Mailing address:** 3820 NORTHDALE BLVD.,, SUITE 105A, TAMPA, FL 33624-1834
- **Mailing address phone:** (813) 960-1655
- **Mailing address fax:** (813) 960-3681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME60554 | FL | Yes |

## Other

- **Enumeration date:** 12/23/2010
- **Last updated:** 01/12/2012