Individual
DR. DAVID T. STEWART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1899 EIDER CT, TALLAHASSEE, FL 32308-4537
(850) 878-5143
(850) 942-6622
Mailing address
1899 EIDER CT, TALLAHASSEE, FL 32308-4537
(850) 878-5143
(850) 942-6622
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME62064
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18076
BCBS INDIVIDUAL PROVIDER#
FL
05
—
3720578
—
FL
01
—
ME62064
FL MEDICAL EXAMINER LICEN
FL
Enumeration date
01/26/2006
Last updated
09/14/2007
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