Provider Demographics
NPI:1760913834
Name:STEFAN, TEODORA CRISTINA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TEODORA
Middle Name:CRISTINA
Last Name:STEFAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2791 VILLAGE BLVD
Mailing Address - Street 2:APT. 305
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6949
Mailing Address - Country:US
Mailing Address - Phone:301-760-0885
Mailing Address - Fax:
Practice Address - Street 1:2791 VILLAGE BLVD
Practice Address - Street 2:APT. 305
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6949
Practice Address - Country:US
Practice Address - Phone:301-760-0885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54704183500000X
MD23500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist