Stephen R Dsida, L.P., C.P.O.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PRO 9 Issued in FL

Practice address

1611 NW 12TH Ave
P & O Lab, Rehab, Room 129
Miami, FL 33136-1005

Phone

(305) 585-6265

Fax

(305) 585-2675

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387065600000",
    "number": "1174541304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13704 SW 13TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842701",
            "telephone_number": "305-585-6265",
            "fax_number": "305-585-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "P & O LAB, REHAB, ROOM 129",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6265",
            "fax_number": "305-585-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DSIDA",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "L.P., C.P.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PRO 9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drug Free Youth in Town
• Olivia Drum
• Heather Grace Patricia Drummond, DNP, APRN, FNP-BC
• Barrett Dryden
• DS Support Service
• Aaron Dsozua
• DSP Outpatient Corp
• DSS Better Homes Alf
• DTV Therapy Services Corp
• Coral Du Quesne, MS, CCC-SLP

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2013; 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.