person
Stephanie Dieffenthaller
Medical Physician Assistant in Largo, Florida
NPI 1922643345

Stephanie Dieffenthaller is a Medical Physician Assistant based in Largo, FL and is specialized in Medical. Stephanie Dieffenthaller practices in Largo, FL. The NPI Number for Stephanie Dieffenthaller is 1922643345 and holds a License No. PA9112980 (Florida).

The current practice location address for Stephanie Dieffenthaller is 8787 Bryan Dairy Rd Ste 250, Largo, FL and can be reached out via phone at 727-391-6296 and via fax at 813-635-7940.

Location: 8787 Bryan Dairy Rd Ste 250, Largo, FL, 33777-1259
person
Provider Profile Details
NPI Number
1922643345
Provider Name
Stephanie Dieffenthaller
Credential
Provider Entity Type
Individual
Gender
Female
Address
8787 Bryan Dairy Rd Ste 250, Largo, FL, 33777-1259
Phone Number
727-391-6296
Fax Number
813-635-7940
Provider Enumeration Date
11/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116213700 05 FL
institution
Provider Business Practice Location Address Details
Address
8787 Bryan Dairy Rd Ste 250
City
State
Zip
33777-1259
Phone Number
727-391-6296
Fax Number
813-635-7940
person
Provider Business Mailing Address Details
Address
8787 Bryan Dairy Rd Ste 250
City
State
Zip
33777-1259
Phone Number
727-391-6296
Fax Number
813-635-7940
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9112980 (Florida)
Definition
Definition to come...
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