Healthcare Provider Details

I. General information

NPI: 1801158944
Provider Name (Legal Business Name): STEFANIA SAINT-HILAIRE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEFANIA HENNING M.D.

II. Dates (important events)

Enumeration Date: 06/14/2012
Last Update Date: 07/11/2021
Certification Date: 07/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4675 28TH CT
VERO BEACH FL
32967-1329
US

IV. Provider business mailing address

1545 9TH ST SW
VERO BEACH FL
32962-4312
US

V. Phone/Fax

Practice location:
  • Phone: 772-257-8224
  • Fax: 772-213-3157
Mailing address:
  • Phone: 772-257-8224
  • Fax: 772-213-3157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME123981
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: