Individual
STEPHANIE PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
410 LIONEL WAY FL 3, DAVENPORT, FL 33837-7809
(863) 293-1191
(863) 837-5333
Mailing address
500 E CENTRAL AVE, WINTER HAVEN, FL 33880-3094
(863) 293-1191
(863) 837-5333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS17951
FL
Other
Enumeration date
06/29/2018
Last updated
03/02/2026
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