Healthcare Provider Details

I. General information

NPI: 1346349594
Provider Name (Legal Business Name): AMY STEVENS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SW ARCHER RD SURGICAL SERVICES (112)
GAINESVILLE FL
32608-1135
US

IV. Provider business mailing address

1635 NW 42ND AVE
GAINESVILLE FL
32605-1930
US

V. Phone/Fax

Practice location:
  • Phone: 352-376-1611
  • Fax: 352-379-2428
Mailing address:
  • Phone: 352-692-5807
  • Fax: 352-692-5807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME73847
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME73847
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: