Organization
STEPHEN T. ENGUIDANOS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN T ENGUIDANOS MD (PHYSICIAN)
(850) 729-1444
Entity
Organization
Contact information
Practice address
1110 JUNIPER AVENUE, NICEVILLE, FL 32578-2218
(850) 729-1444
(850) 729-0300
Mailing address
1110 JUNIPER AVENUE, NICEVILLE, FL 32578-2218
(850) 729-1444
(850) 729-0300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME86400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR3144
RAILROAD MEDICARE
FL
Enumeration date
07/06/2006
Last updated
12/26/2024
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