Provider Demographics
NPI:1922319896
Name:STEPHEN A BOOKBINDER, M.D.,P.A.
Entity Type:Organization
Organization Name:STEPHEN A BOOKBINDER, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-237-7171
Mailing Address - Street 1:3210 SW 33RD RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7405
Mailing Address - Country:US
Mailing Address - Phone:352-237-7171
Mailing Address - Fax:352-237-0893
Practice Address - Street 1:3210 SW 33RD RD
Practice Address - Street 2:SUITE 102
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-7405
Practice Address - Country:US
Practice Address - Phone:352-237-7171
Practice Address - Fax:352-237-0893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-25
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38325174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1922319896OtherNPI
FL47439OtherMEDICARE NUMBER
FL1699767202OtherNPI