Provider Demographics
NPI:1902038219
Name:BARTOLOTTI, STEPHANIE CAROLINE (AP, DOM)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:CAROLINE
Last Name:BARTOLOTTI
Suffix:
Gender:F
Credentials:AP, DOM
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:CAROLINE
Other - Last Name:IRZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AP, DOM
Mailing Address - Street 1:409 MOTGOMERY RD.
Mailing Address - Street 2:SUITE 145
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714
Mailing Address - Country:US
Mailing Address - Phone:321-972-2940
Mailing Address - Fax:321-295-7885
Practice Address - Street 1:409 MOTGOMERY RD.
Practice Address - Street 2:SUITE 145
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714
Practice Address - Country:US
Practice Address - Phone:321-972-2940
Practice Address - Fax:321-295-7885
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2718171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist