Individual
DR. MICHAEL STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4321 N MACDILL AVE, SUITE 205, TAMPA, FL 33607-6388
(813) 961-7440
(813) 962-0951
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2012-00348
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
OS 13121
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427017169
—
NC
Enumeration date
04/27/2009
Last updated
09/25/2015
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