Individual
DR. STEVEN LEE NODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
4276 CALINDA LN APT 145, NICEVILLE, FL 32578-4554
(813) 784-5138
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.010301
OH
207P00000X
Emergency Medicine Physician
Primary
OS11996
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/02/2009
Last updated
07/01/2013
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