Dr John Edward Stephens Jr, MD | |
3377 S State Road 7 Ste 100, Wellington, FL 33449-8002 | |
(561) 341-7000 | |
(561) 341-7055 |
Full Name | Dr John Edward Stephens Jr |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 3377 S State Road 7 Ste 100, Wellington, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093780132 | NPI | - | NPPES |
272288700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | ME 92461 (Florida) | Primary |
Entity Name | South Broward Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528659679 PECOS PAC ID: 8123927373 Enrollment ID: O20210309000237 |
Mailing Address | Practice Location Address |
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Dr John Edward Stephens Jr, MD 2900 Corporate Way, Door D, Miramar, FL 33025-3925 Ph: (954) 276-5603 | Dr John Edward Stephens Jr, MD 3377 S State Road 7 Ste 100, Wellington, FL 33449-8002 Ph: (561) 341-7000 |
Middey Damian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1447 Medical Park Blvd Ste 104, Wellington, FL 33414 Phone: 561-792-1525 Fax: 561-792-1521 | |
Mohamed Chan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 468 Old Country Rd, Wellington, FL 33414 Phone: 561-676-5164 | |
Dr. Michael L. Bruck, M.D., F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10115 W Forest Hill Blvd., Suite 402, Wellington, FL 33414 Phone: 561-791-1935 Fax: 561-791-0115 | |
Dr. Lawrence Russell Bergman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10115 W Forest Hill Blvd, Ste 303, Wellington, FL 33414 Phone: 561-798-5565 Fax: 561-798-9756 | |
Dr. Edith Michelle Spencer-morales, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10101 Forest Hill Blvd, Wellington, FL 33414 Phone: 561-798-8599 | |
Dr. Jodi Ellen Star, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Guiding Light Wellness Center, 3319 State Road 7 Ste 210, Wellington, FL 33449 Phone: 561-422-3314 Fax: 561-422-3315 |