Healthcare Provider Details

I. General information

NPI: 1619380904
Provider Name (Legal Business Name): STEPHANIE STOPKA PEARCE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE SUZANNE STOPKA M.D.

II. Dates (important events)

Enumeration Date: 06/04/2014
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14534 OLD SAINT AUGUSTINE RD STE 3210
JACKSONVILLE FL
32258-2645
US

IV. Provider business mailing address

14534 OLD SAINT AUGUSTINE RD STE 3210
JACKSONVILLE FL
32258-2645
US

V. Phone/Fax

Practice location:
  • Phone: 904-675-4000
  • Fax:
Mailing address:
  • Phone: 904-675-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME163674
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberDR.0061986
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberME163674
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberDR.0061986
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberME163674
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberDR.0061986
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: