Doctor Name: | DR. STEPHEN R PHLAUM |
NPI Number: | 1164460960 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME94592 |
Business Practice Address: | 7720 Us Highway 98 W 350 Destin, FL - 325507230 |
Business Phone Number: | 8502671603 |
Business Fax Number: | 8502671862 |
Mailing Address: | Po Box 2699, PENSACOLA |
State: | FL |
Postal Code: | 325132699 |
Phone Number: | 8504754500 |
Fax Number: | 8504754619 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 03/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | ME94592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |