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Individual

STEPHEN M SCIONTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6600 UNIVERSITY PKWY STE 203, LAKEWOOD RANCH, FL 34240-9041
(941) 702-5595
(888) 492-0296
Mailing address
6600 UNIVERSITY PKWY STE 203, LAKEWOOD RANCH, FL 34240-9041
(941) 702-5595
(888) 492-0296

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
15312
SC
208800000X
Urology Physician
249866
MA
208800000X
Urology Physician
Primary
ME119376
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14V0F
BCBS FL
FL
01
571087172
BLUE CROSS
SC
Enumeration date
11/17/2006
Last updated
02/11/2021
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