Provider Demographics
NPI:1912494188
Name:ALTMANN, STEFANIE (DO)
Entity type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:
Last Name:ALTMANN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 HOLLYWOOD BLVD STE 215-A
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6751
Mailing Address - Country:US
Mailing Address - Phone:954-988-0976
Mailing Address - Fax:
Practice Address - Street 1:100 PRINGLE AVE STE 425
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-7385
Practice Address - Country:US
Practice Address - Phone:925-932-3800
Practice Address - Fax:925-933-3339
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-13
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS18824207N00000X
ORPG188434207R00000X
CA24681207N00000X
FLUO6375207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207N00000XAllopathic & Osteopathic PhysiciansDermatology