Provider Demographics
NPI:1700878436
Name:BAILEY, STEVEN MORRELL (MEDICAL DOCTOR)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MORRELL
Last Name:BAILEY
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12635 WETMORE CT
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-4622
Mailing Address - Country:US
Mailing Address - Phone:352-262-2181
Mailing Address - Fax:
Practice Address - Street 1:12635 WETMORE CT
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-4622
Practice Address - Country:US
Practice Address - Phone:352-262-2181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0080807207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268784400Medicaid
FLE4340YMedicare PIN
FL268784400Medicaid