Healthcare Provider Details

I. General information

NPI: 1033166327
Provider Name (Legal Business Name): STEPHANIE MARGARET BIEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 06/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2718 WINDGUARD CIRCLE SUITE 102
WESLEY CHAPEL FL
33544-7360
US

IV. Provider business mailing address

2718 WINDGUARD CIRCLE SUITE 102
WESLEY CHAPEL FL
33544-7360
US

V. Phone/Fax

Practice location:
  • Phone: 813-388-6865
  • Fax:
Mailing address:
  • Phone: 813-388-6865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS5723
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS5723
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS0005723
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: