Individual provider · Type 1 NPI

Stephanie Phan, DO

Pediatrics Physician · Davenport, FL

NPI number 1639664717 Active

Practice location

410 Lionel Way Fl 3
Davenport, FL 33837-7809

Fax (863) 837-5333

Mailing address

500 E Central Ave
Winter Haven, FL 33880-3094

Other practice locations

  • 6484 Fort Caroline Rd, Jacksonville, FL 32277-2042 · (904) 659-4735

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XOS17951 (FL)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

3 other providers at this address

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About NPI 1639664717

Stephanie Phan, DO's National Provider Identifier is 1639664717, issued on Jun 29, 2018. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Davenport, FL. The record was last updated on Mar 2, 2026.