Individual provider · Type 1 NPI

Stephen Fils Bazilme, PA, SA-C

Medical Physician Assistant · Orlando, FL

NPI number 1467110890 Active

Practice location

5979 Vineland Rd Ste 109
Orlando, FL 32819-7857

Fax (954) 923-1299

Mailing address

PO Box 1433
Woodbridge, VA 22195-1433

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X683-P.A. (PR)
Medical Physician Assistant Primary 363AM0700XPACN149 (FL)
Medical Physician Assistant 363AM0700XTPPA485 (FL)
Surgical Assistant 246ZC0007X22-423 (WI)
Clinical Medical Laboratory 291U00000X109977 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1467110890

Stephen Fils Bazilme, PA, SA-C's National Provider Identifier is 1467110890, issued on Dec 2, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orlando, FL. The record was last updated on Oct 13, 2026.