Provider Demographics
NPI:1114086501
Name:STELLER, STEPHEN J (DC)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:STELLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 MISSOURI AVE N
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-1534
Mailing Address - Country:US
Mailing Address - Phone:727-587-6667
Mailing Address - Fax:727-587-6660
Practice Address - Street 1:1499 MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-4612
Practice Address - Country:US
Practice Address - Phone:727-734-7611
Practice Address - Fax:727-736-1124
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor