Individual
DR. STEPHEN S FALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
410 N MAIN ST, CHIEFLAND, FL 32626-0866
(352) 493-7274
(352) 493-9290
Mailing address
23476 NW 186TH AVE, HIGH SPRINGS, FL 32643-0673
(386) 454-0698
(386) 454-0690
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
OS11123
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
OS11123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002889900
—
FL
01
—
EBO33Z
MEDICARE PTAN
FL
Enumeration date
02/08/2006
Last updated
01/15/2025
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