Provider Demographics
NPI:1295865871
Name:MASLEY, STEVEN CAMERON (MD, CNS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CAMERON
Last Name:MASLEY
Suffix:
Gender:M
Credentials:MD, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 CARILLON PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1118
Mailing Address - Country:US
Mailing Address - Phone:727-299-9222
Mailing Address - Fax:727-299-9322
Practice Address - Street 1:900 CARILLON PKWY STE 300
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-1118
Practice Address - Country:US
Practice Address - Phone:727-299-9222
Practice Address - Fax:727-299-9322
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 78502207Q00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD44220Medicare UPIN