Individual
DR. DAVID WAYNE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9202 NW 26TH ST, WILDWOOD, FL 34785-7413
(352) 812-0579
(352) 571-4349
Mailing address
9202 NW 26TH ST, WILDWOOD, FL 34785-7413
(352) 812-0579
(352) 571-4349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME106525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14F4L
BCBS
FL
Enumeration date
02/12/2008
Last updated
09/06/2023
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