Provider Demographics
NPI:1891785515
Name:DOBBINS, STEWART M II (MD)
Entity Type:Individual
Prefix:DR
First Name:STEWART
Middle Name:M
Last Name:DOBBINS
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:12554 S JOHN YOUNG PKWY
Mailing Address - Street 2:STE 102
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-4004
Mailing Address - Country:US
Mailing Address - Phone:407-856-9966
Mailing Address - Fax:407-816-2214
Practice Address - Street 1:12554 S JOHN YOUNG PKWY
Practice Address - Street 2:STE 102
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837
Practice Address - Country:US
Practice Address - Phone:407-856-9966
Practice Address - Fax:407-816-2214
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2018-08-15
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Provider Licenses
StateLicense IDTaxonomies
FLME69272208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42472OtherBCBS
FL263342600Medicaid
FL42472OtherBCBS