Individual
MRS. HERA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-3541
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME107888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003817500
—
FL
01
—
14F6P
BLUE CROSS CLUE SHIELD
FL
Enumeration date
09/10/2007
Last updated
03/29/2021
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