Healthcare Provider Details

I. General information

NPI: 1528355724
Provider Name (Legal Business Name): DAVID JOSEPH STEFLIK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 WILLIAM H JOHNSON ST STE 400
FLORENCE SC
29506-2769
US

IV. Provider business mailing address

PO BOX 3239
FLORENCE SC
29502-3239
US

V. Phone/Fax

Practice location:
  • Phone: 843-777-7300
  • Fax: 843-777-7311
Mailing address:
  • Phone: 843-777-7300
  • Fax: 843-777-7311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number36596
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number36596
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: