Individual
DR. STEFANIE VINCENZINA PATRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7455 PINEMIRE DRIVE, NEMOURS CHILDRENS PRIMARY CARE, OVIEDO, OVIEDO, FL 32765-6094
(407) 542-1733
(407) 542-1740
Mailing address
P.O. BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(904) 697-4203
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
49441
TN
208000000X
Pediatrics Physician
Primary
ME123257
FL
208D00000X
General Practice Physician
ME123257
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49441
TN STATE LICENSE
TN
01
—
ME123257
FL MEDICAL LICENSE
FL
Enumeration date
04/13/2010
Last updated
12/22/2016
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