Individual
CHRISTOPHER STEPHANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1100 SE FEDERAL HWY, STUART, FL 34994-3823
(772) 320-0770
Mailing address
1100 SE FEDERAL HWY, STUART, FL 34994-3823
(772) 320-0770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912987100
—
FL
Enumeration date
02/10/2015
Last updated
02/10/2015
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