Organization
STEPHEN A UPDEGRAFF MD PA
Active
Other names
UPDEGRAFF VISION LASER AND SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN UPDEGRAFF MD (MEDICAL DIRECTOR)
(727) 822-4287
Entity
Organization
Contact information
Practice address
1601 38TH AVE N, ST PETERSBURG, FL 33713-1926
(727) 822-4287
(727) 822-1086
Mailing address
1601 38TH AVE N, ST PETERSBURG, FL 33713-1926
(727) 822-4287
(727) 822-1086
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1171
FL
332H00000X
Eyewear Supplier
ME67224
FL
Other
Enumeration date
06/01/2005
Last updated
07/03/2008
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