# STEPHEN PETROFSKY DPM PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063686756
- **Authorized official:** STEPHEN PETROFSKY DPM (OWNER)
- **Authorized official phone:** (941) 625-3330

## Contact information

- **Practice address:** 2525 HARBOR BLVD, SUITE 206, PT CHARLOTTE, FL 33952-5342
- **Practice address phone:** (941) 625-3330
- **Practice address fax:** (941) 625-5753
- **Mailing address:** 2525 HARBOR BLVD, SUITE 206, PT CHARLOTTE, FL 33952-5342
- **Mailing address phone:** (941) 625-3330
- **Mailing address fax:** (941) 625-5753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PO000791 | FL | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008
