P DEE G STEPHENSON, M.D., P.A.
Medical Practice at Palermo Pl, Venice, FL

License number
Florida ME0051453
Category
Medical Practice
Type
Ophthalmology
Address
Address
200 Palermo Pl, Venice, FL 34285
Phone
(941) 485-1121
(941) 486-0571 (Fax)
National Provider ID: 1114988045
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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P. DEE G. STEPHENSON, M.D., PA

200 Palermo Pl, Venice, FL 34285

Industry:
Medical Doctor's Office
Registration:
Aug 14, 1988
State ID:
M94549
Business type:
Florida Profit Corporation
President, Secretarys:
P Dee Gmd Stephenson, 200 Palermo Pl, Venice, FL 34285 (Physical),P. Dee G Stephenson (President, Secretary)
Agent:
P. Dee Stephenson,200 Palermo Pl, Venice, FL 34285 (Physical)
EIN:
65-0058943

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