Organization
STEVEN A VISNAW DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN AUSTIN VISNAW DO (GENERAL SURGEON)
(352) 796-2494
Entity
Organization
Contact information
Practice address
11373 CORTEZ BLVD, SUITE 202, BROOKSVILLE, FL 34613-5414
(352) 796-2494
Mailing address
11373 CORTEZ BLVD, SUITE 202, BROOKSVILLE, FL 34613-5414
(352) 796-2494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS9556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274271300
—
FL
Enumeration date
10/16/2007
Last updated
07/08/2010
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