Individual
STEVEN J DEPRIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6129 SW 70TH ST, SOUTH MIAMI, FL 33143-3451
(786) 308-2328
Mailing address
PO BOX 431306, MIAMI, FL 33243
(305) 799-2599
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G53338
CA
2085R0202X
Diagnostic Radiology Physician
Primary
ME47268
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME47268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374522800
—
FL
Enumeration date
04/22/2006
Last updated
08/12/2022
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