Stella M Defortuna, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

ME0055088 Issued in FL

Practice address

1200 7TH Ave N
St Petersburg, FL 33705-1300

Phone

(727) 328-7800

Fax

(727) 328-9555

NPI assigned

Sep 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1083711618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6671 13TH AVE N STE 1B",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337105411",
            "telephone_number": "727-328-7800",
            "fax_number": "727-328-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051300",
            "telephone_number": "727-328-7800",
            "fax_number": "727-328-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFORTUNA",
        "first_name": "STELLA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "ME0055088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064957100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dedra Hern Crna LLC
• Samantha Dedrick
• Megan Deedrich, FNP-BC
• Savannah Nicole Deering, RD
• Ivy Defelix, RN
• Daniel Defrank
• Sree Lalitha Degala, M.D.
• Gabrielle Degalbo
• William James Degan, M.D.
• Hannah Degenaro

• Anatomic Pathology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Anatomic Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.