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NPI Code Detail

MEDICARE: STEPHEN SARDELIS

MEDICARE: STEPHEN SARDELIS
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
11041C0700XClinical Social Worker26000FL

General Provider Information

NPI Number : 1801741756
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN SARDELIS
Provider Business Mailing Address
First Line : 820 E PARK AVE STE I100
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-2600
Country : US
Telephone Number : 850-765-6769
Fax Number :
Provider Business Practice Location Address
First Line : 820 E PARK AVE STE I100
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-2600
Country : US
Telephone Number : 850-765-6769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ STEPHEN SARDELIS ” Practice Location

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