Stephen a Updegraff MD PA

NPI #1124020375 in St Petersburg, Florida

Provider Information

NPI Number: 1124020375
Entity Type: Organization
Organization Name: Stephen a Updegraff MD PA
Primary Specialty: Ophthalmology
Enumeration Date: Jun 1, 2005
Last Updated: Jul 3, 2008

Practice Location

Address: 1601 38TH AVE N
City: St Petersburg
State: Florida
ZIP Code: 33713-1926
Phone: (727) 822-4287

Authorized Official

Name: DR. STEPHEN UPDEGRAFF, MD
Title: MEDICAL DIRECTOR
Phone: (727) 822-4287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Ophthalmology	207W00000X	Primary

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