Provider Demographics
NPI:1629266796
Name:S T E P H INC
Entity Type:Organization
Organization Name:S T E P H INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:754-581-2844
Mailing Address - Street 1:609 SW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-2049
Mailing Address - Country:US
Mailing Address - Phone:754-581-2844
Mailing Address - Fax:954-463-0457
Practice Address - Street 1:609 SW 19TH ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-2049
Practice Address - Country:US
Practice Address - Phone:754-581-2844
Practice Address - Fax:954-463-0457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-14
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9191721363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty