Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main St Medical USA

Organization Internal Medicine Physician · NPI 1003039033

Main St Medical USA is an Internal Medicine Physician in Tampa, Florida. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

11734 N Dale Mabry
Tampa, FL 33618
Phone: (813) 968-6000
Fax: (813) 968-6007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X
Internal Medicine Physician Taxonomy 207R00000X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1003039033
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Stefano — Director Md · (813) 968-6000
NPI enumeratedApril 10, 2007
Last updated in NPPESSeptember 24, 2013
Mailing address11734 North Dale Mabry, Tampa, FL 33618

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