Provider Demographics
NPI:1891785515
Name:DOBBINS, STEWART M II (MD)
Entity type:Individual
Prefix:DR
First Name:STEWART
Middle Name:M
Last Name:DOBBINS
Suffix:II
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 INGRAHAM AVE
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-4336
Mailing Address - Country:US
Mailing Address - Phone:863-421-6565
Mailing Address - Fax:863-421-7474
Practice Address - Street 1:900 INGRAHAM AVE
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-4336
Practice Address - Country:US
Practice Address - Phone:638-421-6565
Practice Address - Fax:863-421-7474
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME69272208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL42472OtherBCBS
FL263342600Medicaid
FL42472OtherBCBS