Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME40383 | FL |
N | 207VG0400X | Gynecologist | ME40383 | FL |
N | 207VX0000X | Obstetrician | ME40383 | FL |
NPI | 1316039951 |
---|---|
Provider Name | Dr. Steven Eugene Pillow |
First Address | Mount Dora, FL 32757-6707 |
Second Address | Mount Dora, FL 32757-6707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 25/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041453100 | (05) | FL |
160023234 | MEDICARE RAILROAD (01) | FL |
D54365 | (02) |