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Individual
STEPHAN DIMITRJEVITCH
Active
Individual
STEPHAN DIMITRJEVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11049967
FL
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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