Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | ME46777 | FL |
NPI | 1144203928 |
---|---|
Provider Name | Dr. Stephen V. Orman |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Venice, FL 34292-7554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2005 |
Last Update Date | 19/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
053123500 | (05) | FL |
D56982 | (02) | FL |