Fedec, Stephen G
Fedec, Stephen G is an individual health care provider with primary practice located at 11851 Stillwood Pines Blvd Suite 203, Jacksonville FL 32224-4435. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Fedec, Stephen G can be contacted via phone (904) 376-4820.Contact Information
Primary practice address
11851 Stillwood Pines Blvd Suite 203
Jacksonville FL 32224-4435
Phone: (904) 376-4820
Fax: (904) 618-2150
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | OS9424 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MB0593880 | New Jersey |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | OS9424 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 30762 | Georgia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 83246 | South Carolina |
Profile Details
| NPI number | 1629048632 |
|---|---|
| LBN Legal business name | Fedec, Stephen G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Aug 4th, 2026 - about 3 months ago |
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 | 1629048632 | NPPES |
| South Carolina | MEDICAID | 832460 |
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