Individual
DR. STEPHEN LEE HARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3470 ENTERPRISE CIRCLE, GIBRALTAR BUILDING, SUITE 307, LAKEWOOD RANCH, FL 34202
(941) 361-1505
Mailing address
8470 ENTERPRISE CIR, GIBRALTAR BUILDING, SUITE 307, LAKEWOOD RANCH, FL 34202-4102
(941) 361-1505
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME125254
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
MD040870E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0499192000
IBC
PA
Enumeration date
07/03/2006
Last updated
09/02/2016
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