Individual
TATYANA STEPANENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1170 S SEMORAN BLVD, ORLANDO, FL 32807
(407) 622-7246
(407) 599-7246
Mailing address
5365 W ATLANTIC AVE, SUITE 504, DELRAY BEACH, FL 33484-8172
(561) 241-9300
(561) 241-9339
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
ME 124535
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME 124535
FL
208VP0000X
Pain Medicine Physician
ME 124535
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME 124535
FL
Other
Enumeration date
06/03/2014
Last updated
07/27/2018
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