Provider Demographics
NPI:1790705143
Name:APPELBLATT, STEVEN L (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:L
Last Name:APPELBLATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 BENEVOLENT ST
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4261
Mailing Address - Country:US
Mailing Address - Phone:407-342-6667
Mailing Address - Fax:
Practice Address - Street 1:1350 BENEVOLENT ST
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4261
Practice Address - Country:US
Practice Address - Phone:407-342-6667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME47521207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL47793OtherBCBS
FL0428299 00Medicaid
050066145OtherRAILROAD MEDICARE
XXX-XX-3520OtherCHAMPUS / TRICARE SOUTH REGION
FL47793YMedicare PIN
FL47793OtherBCBS