Provider Demographics
NPI:1700878436
Name:BAILEY, STEVEN M (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:BAILEY
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Gender:M
Credentials:MEDICAL DOCTOR
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Mailing Address - Street 1:4881 NW 8TH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4582
Mailing Address - Country:US
Mailing Address - Phone:352-373-6338
Mailing Address - Fax:352-373-6144
Practice Address - Street 1:6440 W NEWBERRY RD
Practice Address - Street 2:SUITE 401
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4381
Practice Address - Country:US
Practice Address - Phone:352-332-0030
Practice Address - Fax:352-332-0039
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2009-12-08
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Provider Licenses
StateLicense IDTaxonomies
FLME0080807207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268784400Medicaid
FLE4340YMedicare PIN
FL268784400Medicaid