Individual
MR. STEPHEN PATRICK DZIADIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 7TH ST S STE 205, ST PETERSBURG, FL 33701-4748
(727) 553-7450
(727) 553-7451
Mailing address
601 7TH ST S STE 205, ST PETERSBURG, FL 33701-4748
(727) 553-7450
(727) 553-7451
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290773900
—
FL
Enumeration date
03/26/2007
Last updated
06/08/2021
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