Individual
STEPHANIE STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9981 S. HEALTHPARK DR., SUITE 279, FORT MYERS, FL 33908
(239) 343-9710
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9710
(239) 343-9715
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-4250
AR
208000000X
Pediatrics Physician
E-4250
AR
2080P0208X
Pediatric Infectious Diseases Physician
E-4250
AR
2080P0208X
Pediatric Infectious Diseases Physician
Primary
ME108825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003194000
—
FL
05
—
155867001
—
AR
Enumeration date
10/13/2006
Last updated
11/13/2024
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