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Individual

STEPHEN JAMES CORTEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1890 LPGA BLVD, STE. 160, DAYTONA BEACH, FL 32117-7130
(386) 252-4701
(386) 253-9410
Mailing address
1890 LPGA BLVD, STE. 160, DAYTONA BEACH, FL 32117-7130
(386) 252-4701
(386) 253-9410

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME67305
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00551
BC BS
05
376786800
FL
01
4615664
AETNA
Enumeration date
03/09/2006
Last updated
05/16/2012
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