Provider Demographics
NPI:1689600462
Name:EPSTEIN, STEVEN G (MD FACS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:G
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 - 7TH ST SO
Mailing Address - Street 2:#500
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4734
Mailing Address - Country:US
Mailing Address - Phone:727-822-0442
Mailing Address - Fax:727-821-0416
Practice Address - Street 1:603 - 7TH ST SO
Practice Address - Street 2:#500
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4734
Practice Address - Country:US
Practice Address - Phone:727-822-0442
Practice Address - Fax:727-821-0416
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00484652086S0127X
FLME48465208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
D82513Medicare UPIN
FL62649Medicare ID - Type Unspecified