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NPI Code Detail

MEDICARE: STEPHEN PHILLIP VALE PA-C

MEDICARE: STEPHEN PHILLIP VALE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518825850
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN PHILLIP VALE PA-C
Provider Business Mailing Address
First Line : 233 INDIES DR E UNIT 202
Second Line :
City : NAPLES
State : FL
Zip : 34114-9890
Country : US
Telephone Number : 239-250-4037
Fax Number :
Provider Business Practice Location Address
First Line : 13681 DOCTORS WAY
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4300
Country : US
Telephone Number : 239-343-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 03/09/2026

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Directions to “ STEPHEN PHILLIP VALE PA-C” Practice Location

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