Healthcare Provider Details

I. General information

NPI: 1952257727
Provider Name (Legal Business Name): STEPHAN HELLMIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 W 8TH ST FL I5
JACKSONVILLE FL
32209-6533
US

IV. Provider business mailing address

580 W 8TH ST FL I5
JACKSONVILLE FL
32209-6533
US

V. Phone/Fax

Practice location:
  • Phone: 904-633-0797
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMFC1993
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: