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1639193600 NPI number — DAVID S.A. STEWART MD

NPI Number: 1639193600
Health Care Provider/Practitioner: DAVID S.A. STEWART MD

Information about “1639193600” NPI (DAVID S.A. STEWART MD) exists in 1639193600 in HTML format HTML  |  1639193600 in plain Text format TXT  |  1639193600 in PDF (Portable Document Format) PDF  |  1639193600 in an XML format XML  formats.

NPI Number : 1639193600 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639193600",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEWART",
    "FirstName": "DAVID",
    "MiddleName": "S.A.",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6440 W NEWBERRY RD STE 508",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAINESVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32605-8303",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-371-2011",
    "MailingAddressFaxNumber": "352-384-3611",
    "FirstLinePracticeLocationAddress": "6440 W NEWBERRY RD STE 508",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GAINESVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32605-8303",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-371-2011",
    "PracticeLocationAddressFaxNumber": "352-384-3611",
    "EnumerationDate": "07/26/2006",
    "LastUpdateDate": "08/16/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207V00000X",
        "TaxonomyName": "Obstetrics & Gynecology Physician",
        "LicenseNumber": "ME61421",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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