Provider Demographics
NPI:1295061323
Name:ESTEP, MICHAEL PARKER
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:PARKER
Last Name:ESTEP
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2916 W GANDY BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-2854
Mailing Address - Country:US
Mailing Address - Phone:404-909-6202
Mailing Address - Fax:813-433-5394
Practice Address - Street 1:2916 W GANDY BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-2854
Practice Address - Country:US
Practice Address - Phone:404-909-6202
Practice Address - Fax:813-433-5394
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-24
Last Update Date:2009-10-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies