Provider Demographics
NPI:1467415596
Name:PAGE, STEVEN M (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:PAGE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2750 BAHIA VISTA ST
Mailing Address - Street 2:STE 100
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2640
Mailing Address - Country:US
Mailing Address - Phone:727-544-0320
Mailing Address - Fax:727-209-6693
Practice Address - Street 1:4820 PARK BLVD N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3534
Practice Address - Country:US
Practice Address - Phone:727-544-0320
Practice Address - Fax:727-209-6693
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2016-09-14
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Provider Licenses
StateLicense IDTaxonomies
FLME89677207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0415840001Medicare NSC
FL48251YMedicare PIN
FLI32739Medicare UPIN