Individual
MIKAYLA J STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12708 BRUCE B DOWNS BLVD, APT 1206, TAMPA, FL 33612
(850) 688-3432
Mailing address
12708 BRUCE B DOWNS BLVD, APT 1206, TAMPA, FL 33612
(850) 688-3432
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
203S0010X
FL
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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