Provider Demographics
NPI:1386638674
Name:PYLES, STEPHEN T (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:T
Last Name:PYLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1626
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-1626
Mailing Address - Country:US
Mailing Address - Phone:352-873-6808
Mailing Address - Fax:352-873-9726
Practice Address - Street 1:2300 S PINE AVE
Practice Address - Street 2:STE B
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5102
Practice Address - Country:US
Practice Address - Phone:352-861-4600
Practice Address - Fax:352-237-5437
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME40627207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11716400Medicaid
FL11716400Medicaid
B42641Medicare UPIN