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Individual

DR. STEVEN POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 S NEW YORK AVE UNIT 306, WINTER PARK, FL 32789-4290
(352) 804-1724
Mailing address
101 S NEW YORK AVE UNIT 306, WINTER PARK, FL 32789-4290
(352) 804-1724

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME46230
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070001265
RAILROAD M/C PROVIDER #
FL
01
10D0272724
CLIA#
FL
01
54067
BC/BS OF FL PROVIDER #
FL
01
592660405
TRICARE GROUP #
FL
01
CG7408
RAILROAD M/C GROUP #
FL
01
K1373
MEDICARE GROUP #
FL
Enumeration date
02/06/2006
Last updated
11/28/2025
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