Individual
STEPHANIE QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 S ORANGE AVE STE 103, ORLANDO, FL 32806-2946
(321) 841-4344
(321) 843-1753
Mailing address
1717 S ORANGE AVE STE 103, ORLANDO, FL 32806-2946
(321) 841-4344
(321) 843-1753
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11035871
FL
363LF0000X
Family Nurse Practitioner
209.015223
IL
363LF0000X
Family Nurse Practitioner
ARNP9353574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209015223
STATE LICENSE
IL
Enumeration date
03/15/2017
Last updated
12/24/2024
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