Provider Demographics
NPI:1699783290
Name:STIEG, FRANK H III (MD)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:H
Last Name:STIEG
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2204
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32790-2204
Mailing Address - Country:US
Mailing Address - Phone:407-647-4601
Mailing Address - Fax:407-647-7353
Practice Address - Street 1:851 W MORSE BLVD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3708
Practice Address - Country:US
Practice Address - Phone:407-647-4601
Practice Address - Fax:407-647-7353
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0050906208200000X
FLME50906208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL13-00012OtherUNITED HEALTH CARE PROVID
FL1764826013OtherCIGNA PROVIDER
FL623380OtherAETNA PROVIDER
FL03799OtherBC/BS PROVIDER
FL03799OtherBC/BS PROVIDER
FL623380OtherAETNA PROVIDER