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Provider Information for 1952336679

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

CARISSA H STONE MD

Other Name:   CARISSA HEIM
Gender: FEMALE

Individual NPI: 1952336679

Calendar   Last Updated:  2020-02-26
  Certification Date:  2020-02-26

Details

Name Value
NPI 1952336679
Enumeration Date 2006-07-11
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1988 GULF TO BAY BLVD STE 1
CLEARWATER, FL 33765-3550
United States

Phone: 727-953-8090 | Fax:
View Map External Link
Primary Practice Address 5810 W CYPRESS ST STE D
TAMPA, FL 33607-1780
United States

Phone: 727-953-8090 | Fax: 727-953-8088
View Map External Link
Secondary Practice Address 1988 GULF TO BAY BLVD
CLEARWATER, FL 33765-3550
United States

Phone: 727-953-8090 | Fax: 727-953-8088
View Map External Link

4051 UPPER CREEK DR STE 106
SUN CITY CENTER, FL 33573-6825
United States

Phone: 727-953-8090 | Fax: 727-953-8088
View Map External Link

10740 PALM RIVER RD STE 300
TAMPA, FL 33619-4577
United States

Phone: 727-953-8090 | Fax: 727-953-8088
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 266734700
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208VP0014X - Pain Medicine Interventional Pain Medicine FL ME83895
No 207L00000X - Anesthesiology FL ME83895