Healthcare Provider Details

I. General information

NPI: 1891757399
Provider Name (Legal Business Name): STEVEN D VOLD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 S DILLARD ST STE 118
WINTER GARDEN FL
34787-3991
US

IV. Provider business mailing address

16619 AREZO CT
BELLA COLLINA FL
34756-3612
US

V. Phone/Fax

Practice location:
  • Phone: 407-309-2788
  • Fax:
Mailing address:
  • Phone: 407-779-3535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberK6398
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberE-5216
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License NumberME168374
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME168374
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: