Individual
DR. STEPHEN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7765 144TH ST, SUITE 6, SEBASTIAN, FL 32958-3206
(772) 589-0580
(772) 589-0760
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 778-8513
(615) 628-6877
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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