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GAUTHIER LUC STEPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME153971
FL
208D00000X
General Practice Physician
ME153971
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2019
Last updated
05/21/2025
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