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Stephanie Fike, IDMT

Military Health Care Provider, Independent Duty Medical Technicians in Navarre, FL. Individual provider (NPI-1).

NPI number1366865321
StatusActive
Last updated in NPPESJan 28, 2014

Details

NPI
1366865321
Entity type
Individual (NPI-1)
Name
Stephanie Fike
Credential
IDMT
Sex
Female
Sole proprietor
No
Enumeration date
Jan 28, 2014
Last updated
Jan 28, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians––Yes

Practice location

2804 Winners Circle Dr
Navarre, FL 32566-8820

Phone 850-377-1919

Mailing address

2804 Winners Circle Dr
Navarre, FL 32566-8820

Phone 850-377-1919

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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