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NPI Code Detail

MEDICARE: STERN, DRAKE, ISBELL AND ASSOCS PA

MEDICARE: STERN, DRAKE, ISBELL AND ASSOCS 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
1174400000XSpecialist
22085B0100XBody Imaging Physician
32085R0204XVascular & Interventional Radiology Physician
4261QR0200XRadiology Clinic/Center
5261QR0206XMammography Clinic/Center
62085R0202XDiagnostic Radiology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6CI3708OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1V2863OTHERFLBCBS FLORIDA
2V3256OTHERFLBCBS FLORIDA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
400748OTHERFLBCBS FLORIDA HBP
5V2862OTHERFLBCBS FLORIDA

General Provider Information

NPI Number : 1386878056
Entity Type Code : Organization
Provider Name (Legal Business Name) : STERN, DRAKE, ISBELL AND ASSOCS PA
Provider Business Mailing Address
First Line : 4516 N ARMENIA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33603-2732
Country : US
Telephone Number : 813-348-6950
Fax Number : 813-348-6999
Provider Business Practice Location Address
First Line : 4516 N ARMENIA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33603-2732
Country : US
Telephone Number : 813-348-6950
Fax Number : 813-348-6999
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. JEFF A YOUNGER
Credential : FACHE
Telephone Number : 813-348-6952
Provider Enumeration Date : 05/11/2009
Last Update Date : 05/11/2009

Similar Medicare Providers

1649245085 — DR. MATTHEW HOWARD BERLET M.D.
Practice Location Address:
4516 N ARMENIA AVE
TAMPA, FL
33603-2732
Practice Phone: 813-348-6951
Practice Fax: 813-348-6999
1225010564 — DR. MICHAEL ROBERT YOUSSEF M.D.
Practice Location Address:
4516 N ARMENIA AVE
TAMPA, FL
33603-2732
Practice Phone: 813-348-6900
Practice Fax: 813-348-6999
1285610923 — GIL MANUEL NARVAEZ-SOTO M.D.
Practice Location Address:
4516 N ARMENIA AVE
TAMPA, FL
33603-2732
Practice Phone: 813-348-6900
Practice Fax: 813-348-6998
1710952155 — DR. TIMOTHY ALAN BONSACK M.D.
Practice Location Address:
4516 N ARMENIA AVE
TAMPA, FL
33603-2732
Practice Phone: 813-348-6951
Practice Fax: 813-348-6999
1497720858 — DR. ELAINE DUNAGIN ENGELMAN M.D.
Practice Location Address:
4516 N ARMENIA AVE
TAMPA, FL
33603-2732
Practice Phone: 813-348-6951
Practice Fax: 813-348-6999
1245205616 — DR. JAMES SHAPARD HANNER M.D.
Practice Location Address:
4516 N ARMENIA AVE
TAMPA, FL
33603-2732
Practice Phone: 813-348-6951
Practice Fax: 813-348-6999
1366417610 — DR. KELLY JAMES VANEPPS M.D.
Practice Location Address:
4516 N ARMENIA AVE
TAMPA, FL
33603-2732
Practice Phone: 813-348-6951
Practice Fax: 813-348-6999

Directions to “STERN, DRAKE, ISBELL AND ASSOCS PA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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