Individual
DR. CARL FRANCESCO STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4705 S CLYDE MORRIS BLVD, PORT ORANGE, FL 32129-4103
(386) 763-2768
Mailing address
4705 S CLYDE MORRIS BLVD, PORT ORANGE, FL 32129-4103
(386) 763-2768
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002381300
—
FL
Enumeration date
04/05/2010
Last updated
08/18/2010
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