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Organization

JESSE L STEM MD LLC

Active
Other names
Revelation Spine Center
Organization subpart
No

Provider details

NPI number
Authorized official
JESSE L STEM MD (OWNER)
(727) 490-9115
Entity
Organization

Contact information

Practice address
7800 66TH ST N STE 105, PINELLAS PARK, FL 33781-2101
(727) 490-9115
(855) 592-2984
Mailing address
7800 66TH ST N STE 105, PINELLAS PARK, FL 33781-2101
(540) 525-9759
(855) 592-2984

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0117X
Orthopaedic Surgery of the Spine Physician

Other

Enumeration date
02/12/2024
Last updated
04/24/2025
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