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NPI Code Detail

MEDICARE: LINDSAY DE STEFANO PA-C

MEDICARE: LINDSAY DE STEFANO PA-C
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
1363A00000XPhysician AssistantPA9110020FL

General Provider Information

NPI Number : 1952841215
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY DE STEFANO PA-C
Provider Business Mailing Address
First Line : 210 W HANNA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33604-6632
Country : US
Telephone Number : 954-937-3933
Fax Number :
Provider Business Practice Location Address
First Line : 3715 W AZEELE ST
Second Line :
City : TAMPA
State : FL
Zip : 33609-2807
Country : US
Telephone Number : 813-253-0711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2017
Last Update Date : 03/06/2017

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Directions to “ LINDSAY DE STEFANO PA-C” Practice Location

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