Bradley Cameron Stephan, M.D.
Surgery in Tampa, FL. Individual provider (NPI-1).
NPI number1265723944
StatusActive
Last updated in NPPESJan 11, 2021
Details
- NPI
- 1265723944
- Entity type
- Individual (NPI-1)
- Name
- Bradley Cameron Stephan
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 28, 2011
- Certification date
- Jan 11, 2021
- Last updated
- Jan 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | ME-131954 | FL | Yes |
Practice location
701 S Howard Ave Ste 106226Tampa, FL 33606-2473
Phone 813-549-6299
Mailing address
701 S Howard Ave Ste 106226Tampa, FL 33606-2473
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