MEDICARE: STEPHANIE FUENTES

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	111N00000X	Chiropractor	15847	FL

General Provider Information

NPI Number	:	1932056157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE FUENTES

Provider Business Mailing Address
First Line	:	944 BROADCAST PL APT 111
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8795
Country	:	US
Telephone Number	:	850-517-5686
Fax Number	:

Provider Business Practice Location Address
First Line	:	4777 CITY CENTER PKWY
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-4153
Country	:	US
Telephone Number	:	866-585-9677
Fax Number	:

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

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1316381734 — BRANDY LEE KERN D.C.
Practice Location Address:

4777 CITY CENTER PKWY
PORT ORANGE, FL
32129-4153

Practice Phone: 772-321-9581
Practice Fax:

1508312075 — LAURA MULLER P.T.
Practice Location Address:

4701 CITY CENTER PKWY
PORT ORANGE, FL
32129-4153

Practice Phone: 386-304-7660
Practice Fax: 386-304-7662

1487100525 — REBECCA ELAINE PATTERSON PTA
Practice Location Address:

4701 CITY CENTER PKWY
PORT ORANGE, FL
32129-4153

Practice Phone: 386-304-7660
Practice Fax: 386-304-7662

1255824272 — DANA M LYON PTA
Practice Location Address:

4701 CITY CENTER PKWY
PORT ORANGE, FL
32129-4153

Practice Phone: 386-236-7010
Practice Fax:

1316545346 — DR. JAMES MITCHELL LANE PT, DPT
Practice Location Address:

4701 CITY CENTER PKWY
PORT ORANGE, FL
32129-4153

Practice Phone: 386-236-7010
Practice Fax:

Directions to “ STEPHANIE FUENTES ” 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.