Provider Demographics
NPI:1336250828
Name:STOEV, STEVEN DIMITROV (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:DIMITROV
Last Name:STOEV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6894 LAKE WORTH RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2964
Mailing Address - Country:US
Mailing Address - Phone:561-642-2800
Mailing Address - Fax:561-963-1955
Practice Address - Street 1:6894 LAKE WORTH RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2964
Practice Address - Country:US
Practice Address - Phone:561-642-2800
Practice Address - Fax:561-963-1955
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-10625207R00000X
FLME 83989207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110245189OtherRAIL ROAD MEDICARE
FLAA51365OtherHARVARD PILGRIM HPHC
FL47841OtherBCBS
FL2514200OtherGHI
FL3096014OtherCIGNA
FL119116OtherHEALTHPARTNERS
FL3121209OtherAETNA
FL00027087301OtherUNIVERA
030412480001OtherMEDICAL MUTUAL
FL3121209OtherAETNA