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Organization
MICHELLE H STEVENS MD PA
Active
Organization
MICHELLE H STEVENS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE H STEVENS MD (OWNER)
(850) 902-1282
Entity
Organization
Contact information
Practice address
4100 S FERDON BLVD, STE C5, CRESTVIEW, FL 32536-5252
(850) 902-1282
(850) 682-6937
Mailing address
4100 S FERDON BLVD, STE C5, CRESTVIEW, FL 32536-5252
(850) 902-1282
(850) 682-6937
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03170
BCBS
FL
Enumeration date
01/16/2008
Last updated
01/16/2008
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