Organization
STEPHEN P. MOENNING M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P. MOENNING M.D. (OWNER)
(941) 639-4646
Entity
Organization
Contact information
Practice address
610 E OLYMPIA AVE, SUITE 201, PUNTA GORDA, FL 33950-3875
(941) 639-4646
(941) 639-6545
Mailing address
610 E OLYMPIA AVE, SUITE 201, PUNTA GORDA, FL 33950-3875
(941) 639-4646
(941) 639-6545
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271844800
—
FL
Enumeration date
07/02/2006
Last updated
01/22/2014
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