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MAIN ST MEDICAL USA
NPI 1003039033
Internal Medicine - Addiction Medicine in Tampa, FL

Active since April 10, 2007
11734 NORTH DALE MABRY, TAMPA, FL 33618(813) 968-6000(813) 968-6007 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Main St Medical Usa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN ST MEDICAL USA (NPI 1003039033) is a healthcare organization registered as an addiction medicine in Tampa, Florida and active in the NPI registry since April 2007. The organization lists Stephen Allen Stefano, Director Md, as its authorized official.

NPPES Registry Identity

NPI1003039033
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameMAIN ST MEDICAL USA
Location Address11734 NORTH DALE MABRYTampa, FL 33618
Mailing Address11734 North Dale MabryTampa, FL 33618 · (813) 968-6000 · Fax (813) 968-6007
Phone(813) 968-6000
Fax(813) 968-6007
Organization SubpartNo
Authorized OfficialStephen Allen StefanoDirector Md · (813) 968-6000
Enumeration DateApril 10, 2007
Last NPPES UpdateSeptember 24, 2013
✔ NPI 1003039033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
11734 NORTH DALE MABRY, Tampa, FL 33618
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main St Medical Usa's NPI number?

The NPI number for Main St Medical Usa is 1003039033. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Main St Medical Usa located?

Main St Medical Usa is located at 11734 North Dale Mabry, Tampa, FL 33618. The listed phone number is (813) 968-6000.

What is Main St Medical Usa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Main St Medical Usa was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.