Dieffenthaller, Stephanie

Dieffenthaller, Stephanie is an individual health care provider with primary practice located at 8787 Bryan Dairy Rd Ste 250 , Largo FL 33777-1259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Dieffenthaller, Stephanie can be contacted via phone (727) 391-6296.

Contact Information

Primary practice address
8787 Bryan Dairy Rd Ste 250 Largo FL 33777-1259
Phone: (727) 391-6296
Fax: (813) 635-7940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9112980 Florida

Profile Details

NPI number 1922643345
LBN Legal business name Dieffenthaller, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2019
Last updated Apr 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922643345 NPPES
Florida MEDICAID 116213700

Popular Providers