Individual
DR. STEVEN KNEZEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3820 NORTHDALE BLVD, STE 105A, TAMPA, FL 33624-1834
(813) 960-1655
(813) 960-3681
Mailing address
3820 NORTHDALE BLVD, STE 105A, TAMPA, FL 33624-1834
(813) 960-1655
(813) 960-3681
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
593072246
FL
207X00000X
Orthopaedic Surgery Physician
Primary
593072246
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
593072246
FL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
593072246
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
593072246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056274200
—
FL
01
—
12696
BLUE CROSS BLUE SHIELD
FL
01
—
593072246
COMMERCIAL CARRIERS
FL
01
—
ME0060554
WORKERS COMPENSATION
FL
Enumeration date
06/14/2005
Last updated
01/12/2012
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