Provider Demographics
NPI:1073956108
Name:KREAMER, STEFANIE FIONA (MD)
Entity Type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:FIONA
Last Name:KREAMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 LASALLE LEFALL DR
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32351-5278
Mailing Address - Country:US
Mailing Address - Phone:850-875-3600
Mailing Address - Fax:850-627-7277
Practice Address - Street 1:178 LASALLE LEFALL DR
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-5278
Practice Address - Country:US
Practice Address - Phone:850-875-3600
Practice Address - Fax:850-627-7277
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME127539207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine