Individual
SHAWN MICHAEL STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 UNIVERSITY PKWY, SUITE 201, SARASOTA, FL 34243-2893
(941) 359-8300
(941) 359-8310
Mailing address
2401 UNIVERSITY PKWY, SUITE 201, SARASOTA, FL 34243-2893
(941) 359-8300
(941) 359-8310
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
240496
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
ME109905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006122400
—
FL
05
—
02806504
—
NY
Enumeration date
07/26/2006
Last updated
12/11/2012
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