Provider Demographics
NPI:1568464204
Name:STOVER, STEPHANIE A (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:A
Last Name:STOVER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1000 LINCOLN RD
Mailing Address - Street 2:STE. 240
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2500
Mailing Address - Country:US
Mailing Address - Phone:305-673-5133
Mailing Address - Fax:305-673-8230
Practice Address - Street 1:1000 LINCOLN RD
Practice Address - Street 2:STE. 240
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2500
Practice Address - Country:US
Practice Address - Phone:305-673-5133
Practice Address - Fax:305-673-8230
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2009-03-23
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Provider Licenses
StateLicense IDTaxonomies
FLME82217208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
I03879Medicare UPIN