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Individual

STEPHEN CARL ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1353 74TH CIR NE, ST PETERSBURG, FL 33702-4617
(727) 526-9207
(727) 520-8197
Mailing address
1353 74TH CIR NE, ALL FLORIDA ORTHOPAEDIC ASSOCIATES, ST PETERSBURG, FL 33702-4617
(727) 526-9207
(727) 520-8197

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME47464
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063561800
FL
01
09657
BLUE CROSS BLUE SHIELD
FL
01
300075304
RAILROAD MEDICARE
Enumeration date
05/22/2006
Last updated
01/17/2024
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