Provider Demographics
NPI:1508830761
Name:GRIEPER, STEVEN M (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:GRIEPER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 E. GORE STREET
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806
Mailing Address - Country:US
Mailing Address - Phone:407-832-3621
Mailing Address - Fax:
Practice Address - Street 1:303 NORTH CLYDE MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32120
Practice Address - Country:US
Practice Address - Phone:386-425-4035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8704208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL234270876OtherTRICARE
FL285119OtherAVMED
FLP00266314OtherRR MEDICARE
FL62911OtherBCBS
FL264844000Medicaid
FL234270876OtherTRICARE
FLP00266314OtherRR MEDICARE