Naoumoff, Stephane M
Naoumoff, Stephane M is an individual health care provider with primary practice located at 1395 N Courtenay Pkwy Ste 100 , Merritt Island FL 32953-4474. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Naoumoff, Stephane M can be contacted via phone (321) 453-5252.Contact Information
Primary practice address
1395 N Courtenay Pkwy Ste 100
Merritt Island FL 32953-4474
Phone: (321) 453-5252
Fax: (321) 453-5152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | ME81883 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME81883 | Florida |
Profile Details
| NPI number | 1346212933 |
|---|---|
| LBN Legal business name | Naoumoff, Stephane M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Jan 30th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346212933 | NPPES |
| Florida | MEDICAID | 113578300 | |
| Florida | MEDICAID | 113538600 |
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