Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Phan, DO

Individual provider Pediatrics Physician · NPI 1639664717

Stephanie Phan, DO is a Pediatrics Physician in Davenport, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

410 Lionel Way Fl 3
Davenport, FL 33837-7809
Phone: (863) 293-1191
Fax: (863) 837-5333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OS17951 (FL)

Record details

NPI number1639664717
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 29, 2018
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address500 E Central Ave, Winter Haven, FL 33880-3094

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