| Main St Medical Usa | |
|
11734 North Dale Mabry Tampa FL 33618 | |
| (813) 968-6000 | |
| (813) 968-6007 |
| Full Name | Main St Medical Usa |
|---|---|
| Speciality | Internal Medicine - Addiction Medicine |
| Location | 11734 North Dale Mabry, Tampa, Florida |
| Authorized Official Name and Position | Stephen Allen Stefano (DIRECTOR MD) |
| Authorized Official Contact | 8139686000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main St Medical Usa 11734 North Dale Mabry Tampa FL 33618 Ph: (813) 968-6000 | Main St Medical Usa 11734 North Dale Mabry Tampa FL 33618 Ph: (813) 968-6000 |
| NPI Number | 1003039033 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 09/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003039033 | NPI | - | NPPES |
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