Organization
MARY L STEDMAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L STEDMAN MD (OWNER)
(813) 971-8311
Entity
Organization
Contact information
Practice address
14506 UNIVERSITY POINT PL, TAMPA, FL 33613
(813) 971-8311
Mailing address
14506 UNIVERSITY POINT PL, TAMPA, FL 33613-5425
(813) 971-8311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME54031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15257
BCBS
—
01
—
ME54031
MEDICAL LICENSE
FL
Enumeration date
03/19/2013
Last updated
07/23/2018
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