Healthcare Provider Details

I. General information

NPI: 1194756031
Provider Name (Legal Business Name): STEPHEN COMMINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 W. COPELAND DR. 2ND FLOOR
ORLANDO FL
32806
US

IV. Provider business mailing address

102 W. PINELOCH AVE. SUITE 23
ORLANDO FL
32806
US

V. Phone/Fax

Practice location:
  • Phone: 407-237-6319
  • Fax: 407-843-8505
Mailing address:
  • Phone: 407-481-7174
  • Fax: 407-481-7190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME55240
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberME55240
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberME55240
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: