Organization
GARY L STEVENSMDPA
Active
Other names
Central Florida Dermatology skin Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L STEVENS MD (PRESIDENT)
(863) 293-2147
Entity
Organization
Contact information
Practice address
475 E CENTRAL AVE, WINTER HAVEN, FL 33880-3051
(863) 293-2147
(863) 294-2767
Mailing address
475 E CENTRAL AVE, WINTER HAVEN, FL 33880-3051
(863) 293-2147
(863) 294-2767
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME75661
FL
Other
Enumeration date
05/25/2007
Last updated
04/11/2008
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