Individual
STEPHEN T ENGUIDANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1110 JUNIPER AVENUE, NICEVILLE, FL 32578-2218
(850) 729-1444
(850) 729-0300
Mailing address
1110 JUNIPER AVENUE, NICEVILLE, FL 32578-2218
(850) 729-1444
(850) 729-0300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME86400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266017200
—
FL
Enumeration date
06/26/2006
Last updated
12/15/2023
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