Healthcare Provider Details

I. General information

NPI: 1649385618
Provider Name (Legal Business Name): PATRICIA E STEWART M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

959 37TH PL
VERO BEACH FL
32960-6541
US

IV. Provider business mailing address

100 HIGHLAND ST STE 300
MILTON MA
02186-3880
US

V. Phone/Fax

Practice location:
  • Phone: 772-569-3212
  • Fax:
Mailing address:
  • Phone: 617-698-8855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME151669
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: