Individual
DR. STEPHEN JOEL MOTEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1205
(352) 265-0301
Mailing address
PO BOX 100128, GAINESVILLE, FL 32610-0128
(352) 265-9928
(352) 627-4173
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
200000101
NC
2086S0129X
Vascular Surgery Physician
0101268071
VA
2086S0129X
Vascular Surgery Physician
200000101
NC
2086S0129X
Vascular Surgery Physician
Primary
ME171153
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125433600
—
FL
05
—
1639133504
—
VA
01
—
200000101
NC LICENSE
NC
05
—
89129TM
—
NC
Enumeration date
03/24/2006
Last updated
02/18/2025
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