Organization
STEVEN KNEZEVICH, M.D., P.A.
Active
Other names
Northside Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PORTALES (OFFICE MANAGER)
(813) 960-1655
Entity
Organization
Contact information
Practice address
3820 NORTHDALE BLVD.,, SUITE 105A, TAMPA, FL 33624-1834
(813) 960-1655
(813) 960-3681
Mailing address
3820 NORTHDALE BLVD.,, SUITE 105A, TAMPA, FL 33624-1834
(813) 960-1655
(813) 960-3681
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME60554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056274200
—
FL
Enumeration date
12/23/2010
Last updated
01/12/2012
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