Maynard, Stephen T

Maynard, Stephen T is an individual health care provider with primary practice located at 4675 28Th Ct , Vero Beach FL 32967-1329. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Maynard, Stephen T can be contacted via phone (772) 257-8224.

Contact Information

Primary practice address
4675 28Th Ct Vero Beach FL 32967-1329
Phone: (772) 257-8224
Fax: (772) 252-3245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.020458 Ohio

Profile Details

NPI number 1104277649
LBN Legal business name Maynard, Stephen T
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2016
Last updated Feb 25th, 2025 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104277649 NPPES
Florida MEDICAID 118203800
Florida Other APRN11020663

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