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Individual

MR. STEPHEN E MCNALLY SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CST CFA

Contact information

Practice address
4215 EDGEWATER DR, ORLANDO, FL 32804-2206
(407) 539-2000
(407) 398-0050
Mailing address
909 SE 5TH AVE, SUITE 201, DELRAY BEACH, FL 33483-5172
(561) 900-2498
(888) 972-4762

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
246ZC0007X
Surgical Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F01487
NBSTSA CERT CST/CFA
FL
Enumeration date
06/06/2007
Last updated
10/07/2014
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