Provider Demographics
NPI:1033166327
Name:BIEN, STEPHANIE MARGARET (DO)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MARGARET
Last Name:BIEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2718 WINDGUARD CIRCLE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7360
Mailing Address - Country:US
Mailing Address - Phone:813-388-6865
Mailing Address - Fax:
Practice Address - Street 1:2718 WINDGUARD CIRCLE
Practice Address - Street 2:SUITE 102
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7360
Practice Address - Country:US
Practice Address - Phone:813-388-6865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS5723207P00000X, 207Q00000X
FLOS0005723207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E66467Medicare UPIN