Provider Demographics
NPI:1013920305
Name:STEWART-FRANCISCO, CAROL ANDREA
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANDREA
Last Name:STEWART-FRANCISCO
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:ANDREA
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:407-593-4665
Mailing Address - Fax:407-656-4591
Practice Address - Street 1:16313 NEW INDEPENDENCE PKWY # 110
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-8113
Practice Address - Country:US
Practice Address - Phone:407-593-4665
Practice Address - Fax:407-656-4591
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88668207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU2262YOtherWELLMED MEDICAL MANAGEMENT OF FLORIDA INC
FL269405100Medicaid
FLI06188Medicare UPIN
FLK5494Medicare ID - Type Unspecified