MEDICARE: CARISSA H STONE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician	ME83895	FL
2	207L00000X	Anesthesiology Physician	ME83895	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952336679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARISSA H STONE MD

Provider Business Mailing Address
First Line	:	1988 GULF TO BAY BLVD
Second Line	:	STE 1
City	:	CLEARWATER
State	:	FL
Zip	:	33765-3550
Country	:	US
Telephone Number	:	727-953-8090
Fax Number	:

Provider Business Practice Location Address
First Line	:	2803 W SAINT ISABEL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6343
Country	:	US
Telephone Number	:	813-253-2273
Fax Number	:	813-253-2279

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	06/30/2022

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Directions to “ CARISSA H STONE MD” Practice Location

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