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NPI Code Detail

MEDICARE: ANGELA ROSE STEWART

MEDICARE: ANGELA ROSE STEWART
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1497645048
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA ROSE STEWART
Provider Business Mailing Address
First Line : PO BOX 39894
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33339-9894
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 75 FRANCIS ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-6110
Country : US
Telephone Number : 617-732-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2025
Last Update Date : 01/20/2026

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Directions to “ ANGELA ROSE STEWART ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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