Healthcare Provider Details

I. General information

NPI: 1386638674
Provider Name (Legal Business Name): STEPHEN T PYLES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 07/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S PINE AVE STE B
OCALA FL
34471-5102
US

IV. Provider business mailing address

PO BOX 1626
OCALA FL
34478-1626
US

V. Phone/Fax

Practice location:
  • Phone: 352-861-4600
  • Fax: 352-237-5437
Mailing address:
  • Phone: 352-873-6808
  • Fax: 352-873-9726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME40627
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: