Individual
STEPHEN JOHN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 JIM KEENE BLVD, DISTRICT 10 MEDICAL EXAMINER, WINTER HAVEN, FL 33880-8010
(863) 298-4600
(863) 298-5264
Mailing address
PO BOX 968, HIGHLAND CITY, FL 33846-0968
(863) 298-4600
(863) 298-5264
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
ME54490
FL
207ZN0500X
Neuropathology Physician
ME54490
FL
207ZP0101X
Anatomic Pathology Physician
Primary
ME54490
FL
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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