MEDICARE: STELLA CHANG PA-C

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
1	363A00000X	Physician Assistant	PA9111374	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386130698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STELLA CHANG PA-C

Provider Business Mailing Address
First Line	:	PO BOX 850001, DEPT 8340
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32885-0001
Country	:	US
Telephone Number	:	813-536-7277
Fax Number	:	855-830-1722

Provider Business Practice Location Address
First Line	:	6703 38TH AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-1536
Country	:	US
Telephone Number	:	727-213-5377
Fax Number	:	727-828-9639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2018
Last Update Date	:	02/17/2026

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Directions to “ STELLA CHANG PA-C” Practice Location

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