Individual
STEPHEN A PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1425 MALABAR RD NE, PALM BAY, FL 32907-2506
(321) 434-1401
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1401
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2206
TN
207X00000X
Orthopaedic Surgery Physician
Primary
OS9714
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
654
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121088900
—
FL
05
—
1521019
—
TN
01
—
4282077
BCBST
TN
01
—
SH834
MEDICARE HF
FL
Enumeration date
06/30/2006
Last updated
03/06/2024
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