Individual
STEPHEN PAUL GUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1421 MALABAR RD NE, SUITE B, PALM BAY, FL 32907-2576
(321) 434-8080
(321) 434-8137
Mailing address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01042515
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100389510A
—
IN
01
—
370020659
MEDICARE RAILROAD
IN
Enumeration date
06/05/2006
Last updated
04/24/2015
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