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Individual

STEPHEN J PLUMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
421 LINDEN LN, LAKE WALES, FL 33853-4342
(855) 353-7546
(863) 676-1015
Mailing address
1450 6TH ST SE, WINTER HAVEN, FL 33880-4505
(855) 353-7546
(863) 294-2767

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
OS14079
FL
207ND0900X
Dermatopathology Physician
2004011010
MO
207ND0900X
Dermatopathology Physician
530782
KS
207ND0900X
Dermatopathology Physician
OS14079
FL

Other

Enumeration date
11/29/2006
Last updated
08/12/2019
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