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DR. STEPHEN G PELHAM MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1073508206

Individual Registrant:
DR. STEPHEN G PELHAM MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3909 E BAY DR SUITE 100 HOLMES BEACH, FL 34217-1997 US
Tel: 941-778-1007  Fax: 941-778-9256

Contact information for business:
3909 E BAY DR SUITE 100 HOLMES BEACH, FL 34217-1997 US
Tel: 941-778-1007  Fax: 941-778-9256

Registration Information:
NPI: 1073508206
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
FLME36812

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
065258000FL05
BCBS51125FL01
RAIL ROAD MEDICARE80124988FL01




HEALTH CARE JOBS FL - Page 1



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