Provider Demographics
NPI:1457309056
Name:TRESSER, STEVEN JEFFREY (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:JEFFREY
Last Name:TRESSER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 E FOWLER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-2305
Mailing Address - Country:US
Mailing Address - Phone:813-978-9700
Mailing Address - Fax:813-558-6186
Practice Address - Street 1:909 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-1251
Practice Address - Country:US
Practice Address - Phone:813-978-9700
Practice Address - Fax:813-558-6121
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0066603207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006601600Medicaid
140003399OtherRAILROAD MEDICARE
FL377113000Medicaid
FLME0066603OtherMEDICAL LICENSE
FL25785OtherBCBS OF FLORIDA
FL377113000Medicaid
140003399OtherRAILROAD MEDICARE
FLME0066603OtherMEDICAL LICENSE