Gary L Stevensmdpa
NPI #1083825491 in Winter Haven, Florida
Provider Information
- NPI Number
- 1083825491
- Entity Type
- Organization
- Organization Name
- Gary L Stevensmdpa
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- May 25, 2007
- Last Updated
- Apr 11, 2008
Practice Location
- Address
- 475 E CENTRAL AVE
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33880-3051
- Phone
- (863) 293-2147
Authorized Official
- Name
- DR. GARY L STEVENS, MD
- Title
- PRESIDENT
- Phone
- (863) 293-2147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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