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NPI Code Detail

MEDICARE: STEVEN B TINSLEY MD PA

MEDICARE: STEVEN B TINSLEY MD PA
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
1261QM1300XMulti-Specialty Clinic/CenterME 51360FL

General Provider Information

NPI Number : 1952614281
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEVEN B TINSLEY MD PA
Provider Business Mailing Address
First Line : 613 S MYRTLE AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756
Country : US
Telephone Number : 727-441-4526
Fax Number : 727-461-3253
Provider Business Practice Location Address
First Line : 613 S MYRTLE AVE
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-5615
Country : US
Telephone Number : 727-441-4526
Fax Number : 727-461-3253
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : STEVEN B TINSLEY
Credential : M.D.
Telephone Number : 727-441-4526
Provider Enumeration Date : 07/15/2010
Last Update Date : 01/23/2012

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