Organization
LARRY E. STEVENS, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL LYNN E SWEENEY (BILLING OWNER)
(727) 289-6326
Entity
Organization
Contact information
Practice address
120 STATE ST E STE 106, OLDSMAR, FL 34677-3647
(813) 855-2969
(813) 891-6931
Mailing address
120 STATE ST E STE 106, OLDSMAR, FL 34677-3647
(813) 855-2969
(813) 891-6931
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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