Individual
JESSE L STEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7800 66TH ST N STE 105, PINELLAS PARK, FL 33781-2101
(727) 490-9115
(855) 592-2984
Mailing address
7800 66TH ST N STE 105, PINELLAS PARK, FL 33781-2101
(727) 490-9115
(855) 592-2984
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101230890
VA
207X00000X
Orthopaedic Surgery Physician
Primary
ME161780
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
0101230890
VA
207XS0117X
Orthopaedic Surgery of the Spine Physician
ME161780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010160952
—
VA
05
—
123697700
—
FL
05
—
1619902707
—
VA
01
—
P00220195
MEDICARE RAILROAD PIN
VA
Enumeration date
07/11/2006
Last updated
12/19/2024
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