Provider Demographics
NPI:1407866494
Name:SAVOIE, STEPHEN MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:SAVOIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 CITRUS TOWER BLVD
Mailing Address - Street 2:UNIT 3 SUITE A
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6892
Mailing Address - Country:US
Mailing Address - Phone:352-242-2300
Mailing Address - Fax:352-242-1050
Practice Address - Street 1:3105 CITRUS TOWER BLVD
Practice Address - Street 2:UNIT 3 SUITE A
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6892
Practice Address - Country:US
Practice Address - Phone:352-242-2300
Practice Address - Fax:352-242-1050
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 6980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT00983Medicare UPIN
FL54012Medicare ID - Type Unspecified