Provider Demographics
NPI:1053389619
Name:TINSLEY, STEVEN BARRY (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BARRY
Last Name:TINSLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1345 W BAY DR
Mailing Address - Street 2:STE 205
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2276
Mailing Address - Country:US
Mailing Address - Phone:727-441-4526
Mailing Address - Fax:727-266-4590
Practice Address - Street 1:613 S MYRTLE AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-5615
Practice Address - Country:US
Practice Address - Phone:727-441-4526
Practice Address - Fax:727-461-3253
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0051360207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL370323100Medicaid
FLE49851Medicare UPIN
FL10256Medicare ID - Type Unspecified