Individual
MRS. STEPHANY CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14050 TOWN LOOP BLVD STE 204, ORLANDO, FL 32837-6190
(407) 251-8800
Mailing address
13683 TYBEE BEACH LANE, ORLANDO, FL 32827-4924
(321) 746-3795
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9120020
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9120020
FL
Other
Enumeration date
04/11/2025
Last updated
05/06/2025
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