Healthcare Provider Details

I. General information

NPI: 1639193600
Provider Name (Legal Business Name): DAVID S.A. STEWART MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 W NEWBERRY RD STE 508
GAINESVILLE FL
32605-8303
US

IV. Provider business mailing address

6440 W NEWBERRY RD STE 508
GAINESVILLE FL
32605-8303
US

V. Phone/Fax

Practice location:
  • Phone: 352-371-2011
  • Fax: 352-384-3611
Mailing address:
  • Phone: 352-371-2011
  • Fax: 352-384-3611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME61421
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: