Healthcare Provider Details

I. General information

NPI: 1386607794
Provider Name (Legal Business Name): STEPHEN V AVALLONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N FLAGLER DR STE 240
WEST PALM BEACH FL
33401-3429
US

IV. Provider business mailing address

1515 N FLAGLER DR STE 240
WEST PALM BEACH FL
33401-3429
US

V. Phone/Fax

Practice location:
  • Phone: 561-898-5090
  • Fax: 561-898-5091
Mailing address:
  • Phone: 561-898-5090
  • Fax: 561-898-5091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME0083682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: