Healthcare Provider Details

I. General information

NPI: 1750777405
Provider Name (Legal Business Name): STEVEN GUNTHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2015
Last Update Date: 04/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 DAVIS BLVD SUITE 308
TAMPA FL
33606-3475
US

IV. Provider business mailing address

17 DAVIS BLVD SUITE 308
TAMPA FL
33606-3475
US

V. Phone/Fax

Practice location:
  • Phone: 813-974-2805
  • Fax: 813-974-2478
Mailing address:
  • Phone: 813-250-2506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: