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Dr. Stephanie Phan , DO

Pediatrics • Davenport, FL

Active NPI 1639664717 Individual Practitioner Female Practitioner
Practice location in NPPES

410 Lionel Way Fl 3
Davenport, FL 338377809

Call 8632931191 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

410 Lionel Way Fl 3

Davenport, FL 338377809

Telephone 8632931191
Fax 8638375333
Organization at the Same NPPES Address or Phone
Adventhealth Bond Clinic, Inc. Facility NPI 1053294678

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Open Payments general payments, program year 2025

All general payments: $158.36 across 6 records.

By nature of payment

  • Food and Beverage: $158.36 across 6 records.

Reporting-company totals

  • Exact Sciences Corporation: $97.85 across 3 records.
  • GlaxoSmithKline, LLC.: $41.87 across 2 records.
  • ABIOMED: $18.64 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Phan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Phan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Davenport and Florida

9 active clinicians are listed under Pediatrics with a practice address in Davenport, FL (4,001 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $158.36.

Manufacturer Payment Nature Product Type Amount ($)
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $34.18
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $33.91
Exact Sciences Corporation
Food and Beverage
In-kind items and services
Cologuard Collection Kit General $29.76
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $22.03
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $19.84
ABIOMED
Food and Beverage
In-kind items and services
— General $18.64

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-02
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES FL OS17951

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20211215001146

Enrollment State Jurisdiction

FL

PECOS Control ID

9830580455

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

6484 Fort Caroline Rd

Jacksonville, FL 322772042

Phone: 9046594735

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Audra Adkinson , APRN

Nurse Practitioner - Family

NPI 1801460100

Advanced Practice Registered Nurse

Javier Aleman Porto , APRN

Nurse Practitioner - Family

NPI 1417413964

Advanced Practice Registered Nurse

Amanda Anderson , APRN

Nurse Practitioner - Family

NPI 1669141149

Advanced Practice Registered Nurse

Yonny Appratto , ARNP

Nurse Practitioner - Family

NPI 1275169518

Advanced Registered Nurse Practitioner

Dr. Flavio Arana , MD

Family Medicine

NPI 1326043274

Doctor of Medicine (M.D.)

Dr. Jeremy Balogh , DPT

Physical Therapist

NPI 1669750550

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
📍
Updated Practice Location September 23, 2024

Registered at 410 LIONEL WAY FL 3, DAVENPORT, FL 338377809 (Tel: 8632931191)

📍
Updated Business Mailing Address September 23, 2024

Registered at 500 E CENTRAL AVE, WINTER HAVEN, FL 338803094 (Tel: 8632931191)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2024

Pediatrics (license number reported to NPPES: FL OS17951)

✅
NPI Profile Active June 29, 2018

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) June 29, 2018

Registered at 92 W MILLER ST, ORLANDO, FL 328062032 (Tel: 4076496876)

📍
Business Mailing Address (Initial Record) June 29, 2018

Registered at 86 W UNDERWOOD ST STE 202, ORLANDO, FL 328061110 (Tel: 4076496876)

👤
Provider Name / Credentials (Initial Record) June 29, 2018

Recorded as STEPHANIE PHAN, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: FL UO6079)

🟢
Initial NPI Registration & Enumeration June 29, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639664717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2018
Last Update: March 02, 2026
Sole Proprietor: Yes

Mailing Address

500 E Central Ave

Winter Haven, FL 338803094

Phone: 8632931191

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.