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Organization

STEPHEN KREITZER MD PA

Active
Other names
Stephen M. Kreitzer, M.D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN MORDECAI KREITZER M.D. (PRESIDENT)
(813) 877-5337
Entity
Organization

Contact information

Practice address
2919 W SWANN AVE, SUITE 105, TAMPA, FL 33609-4038
(813) 877-5337
(813) 872-0284
Mailing address
2919 W SWANN AVE, SUITE 105, TAMPA, FL 33609-4038
(813) 877-5337
(813) 872-0284

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0022412
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME0022412
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037176900
FL
01
21066038
AETNA
01
290015002
RAILROAD MEDICARE
FL
01
29895
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
03/24/2010
Last updated
04/22/2010
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