Individual
DR. STEPHEN FITZGERALD
Active
Individual
DR. STEPHEN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME82755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03200
BLUE CROSS BLUE SHIELD
FL
01
—
100015137
RAILROAD MEDICARE
FL
01
—
189289
WELLCARE
FL
05
—
261688200
—
FL
01
—
2792011
AETNA
FL
01
—
41350290
AETNA
FL
01
—
4871364003
CIGNA
FL
Enumeration date
11/22/2005
Last updated
08/11/2016
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