OrganizationActive
Gary L Stevensmdpa
NPI 1083825491 · MOHS-Micrographic Surgery Physician · Winter Haven, FL
Provider details
- NPI number
- 1083825491
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Stevens, President(863) 293-2147
- License
- ME75661 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
475 E Central Ave
Winter Haven, FL 33880-3051
Phone: (863) 293-2147
Fax: (863) 294-2767
Approximate (ZIP-level) locationGet directions
Mailing address
475 E Central Ave
Winter Haven, FL 33880-3051
Other names (DBA / former)
- Doing business as
- Central Florida Dermatology Skin Cancer Center
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2008-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.