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NPI Code Detail

MEDICARE: STEPHANIE CHEN

MEDICARE: STEPHANIE CHEN
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
1363A00000XPhysician Assistant
2363AM0700XMedical Physician Assistant9117566FL

General Provider Information

NPI Number : 1538944772
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE CHEN
Provider Business Mailing Address
First Line : 9649 SW 151ST AVE
Second Line :
City : MIAMI
State : FL
Zip : 33196-1202
Country : US
Telephone Number : 305-975-7816
Fax Number :
Provider Business Practice Location Address
First Line : 10743 NARCOOSSEE RD STE A18
Second Line :
City : ORLANDO
State : FL
Zip : 32832-6947
Country : US
Telephone Number : 407-495-0065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2023
Last Update Date : 05/29/2026

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Directions to “ STEPHANIE CHEN ” Practice Location

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