Provider Demographics
NPI:1750484077
Name:WOYOME, STEPHEN K (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:K
Last Name:WOYOME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:13833 WELLINGTON TRCE
Mailing Address - Street 2:E4-#204
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-2116
Mailing Address - Country:US
Mailing Address - Phone:561-798-5008
Mailing Address - Fax:561-798-5008
Practice Address - Street 1:9123 N MILITARY TRL
Practice Address - Street 2:SUITE 102
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-5990
Practice Address - Country:US
Practice Address - Phone:561-630-9339
Practice Address - Fax:561-630-6351
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2022-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME95871207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAA036XOtherMEDICARE PTAN
FLAA036XOtherMEDICARE PTAN