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NPI Code Detail

MEDICARE: ROGER LEE STEWART MD

MEDICARE: ROGER LEE STEWART MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1154024677
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER LEE STEWART MD
Provider Business Mailing Address
First Line : 200 N LAKEMONT AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-3273
Country : US
Telephone Number : 863-687-1100
Fax Number :
Provider Business Practice Location Address
First Line : 200 N LAKEMONT AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-3273
Country : US
Telephone Number : 407-646-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2023
Last Update Date : 06/26/2026

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