Individual
DR. STEPHEN MORDECAI KREITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2919 W SWANN AVE, SUITE 105, TAMPA, FL 33609-4038
(813) 877-5337
(813) 872-0284
Mailing address
2919 W SWANN AVE, SUITE 105, TAMPA, FL 33609-4038
(813) 877-5337
(813) 872-0284
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0022412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03176900
—
FL
01
—
21066038
AETNA
FL
01
—
290013562
RAILROAD MEDICARE
FL
01
—
29895
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/21/2006
Last updated
11/18/2009
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