Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME37792 | FL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME37792 | FL |
NPI | 1417954827 |
---|---|
Provider Name | Dr. Stephen F Beissinger |
First Address | Sebring, FL 33870-8226 |
Second Address | Sebring, FL 33870-8226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2005 |
Last Update Date | 29/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
066093100 | (05) | FL |
17499 | BCBS (01) | FL |
D53307 | (02) | FL |