| Stephens Family Practice | |
|
1701 Park Ave Orange Park FL 32073-4946 | |
| (904) 510-2382 | |
| (904) 407-7839 |
| Full Name | Stephens Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 Park Ave, Orange Park, Florida |
| Authorized Official Name and Position | Michael Anthony Stephens (PHYSICIAN) |
| Authorized Official Contact | 9045102382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephens Family Practice 1701 Park Ave Orange Park FL 32073-4946 Ph: (904) 982-6453 | Stephens Family Practice 1701 Park Ave Orange Park FL 32073-4946 Ph: (904) 510-2382 |
| NPI Number | 1164530382 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 12/03/2025 |
| Certification Date | 12/03/2025 |
| Medicare PECOS PAC ID | 3274541966 |
|---|---|
| Medicare Enrollment ID | O20251008001261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164530382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Michael Anthony Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801888607 PECOS PAC ID: 6204816606 Enrollment ID: I20060323000182 |
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