MEDICARE: STEPHANIE ANNE MANNY MED, ATC, LAT

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	2255A2300X	Athletic Trainer	AL 1943	FL

General Provider Information

NPI Number	:	1679597892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ANNE MANNY MED, ATC, LAT

Provider Business Mailing Address
First Line	:	2714 KNIGHTSBRIDGE RD
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-5278
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 S APOPKA VINELAND RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-3115
Country	:	US
Telephone Number	:	407-905-6400
Fax Number	:

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1275919532 — DANIELLE KRISTINE PERROTTI MHSC, LAT, ATC
Practice Location Address:

4301 S APOPKA VINELAND RD
ORLANDO, FL
32835-3115

Practice Phone: 407-905-6400
Practice Fax:

1720817513 — AMY HARRELL MS, LAT, ATC
Practice Location Address:

4301 S APOPKA VINELAND RD
ORLANDO, FL
32835-3115

Practice Phone: 856-332-3730
Practice Fax:

1861726309 — MS. ANDREA DAWN WASSEL
Practice Location Address:

3115 HARGILL DR
ORLANDO, FL
32806-1646

Practice Phone: 954-401-0978
Practice Fax:

1215436761 — MRS. CRISTINA ALVAREZ LMHC
Practice Location Address:

4526 CALENDULA DR
ORLANDO, FL
32839-3115

Practice Phone: 407-212-2551
Practice Fax:

1881184984 — NATIONWIDE VISION CENTER, INC.
Practice Location Address:

3115 E COLONIAL DR , INSIDE JCPENNEY
ORLANDO, FL
32803

Practice Phone: 407-894-9369
Practice Fax:

1093385007 — SAMANTHA LYNN COLLINS
Practice Location Address:

3115 ORLANDO AVE
PARKVILLE, MD
21234-7834

Practice Phone: 410-984-5579
Practice Fax:

Directions to “ STEPHANIE ANNE MANNY MED, ATC, LAT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.