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NPI Code Detail

MEDICARE: MRS. STEPHANIE T MCCANN FNP

MEDICARE: MRS. STEPHANIE T MCCANN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11001444FL
2363L00000XNurse PractitionerAPRN11001444FL

General Provider Information

NPI Number : 1770041824
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE T MCCANN FNP
Provider Business Mailing Address
First Line : 111 N ORANGE AVE STE 800
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2381
Country : US
Telephone Number : 888-731-8994
Fax Number :
Provider Business Practice Location Address
First Line : 111 N ORANGE AVE STE 800
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2381
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2019
Last Update Date : 01/05/2026

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