Individual
DR. STELLA M DEFORTUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 328-7800
(727) 328-9555
Mailing address
6671 13TH AVE N STE 1B, ST PETERSBURG, FL 33710-5411
(727) 328-7800
(727) 328-9555
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
ME0055088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064957100
—
FL
Enumeration date
09/17/2006
Last updated
03/23/2018
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