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Individual

DR. STEVEN CHARLES TIECHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1920 SW 20TH PL, STE 201, OCALA, FL 34471-7881
(352) 237-1212
(352) 237-0066
Mailing address
1920 SW 20TH PL, OCALA, FL 34471-7881
(352) 237-1212
(352) 237-0066

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME 48914
FL
208D00000X
General Practice Physician
Primary
ME48914
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
49587
BC PRVDR
FL
01
E3010X
MEDICARE
FL
Enumeration date
11/24/2006
Last updated
01/15/2018
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