MISS STEPHANIE MARIE HERNANDEZ PA-C NPI 1710648464

NPI Information

  • NPI: 1710648464
  • Provider Name: MISS STEPHANIE MARIE HERNANDEZ, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7421 N UNIVERSITY DR STE 206
    TAMARAC, FL
    ZIP 33321
  • Phone: (954) 724-7410

Map and Directions

Get Directions

NPI Details

MISS Stephanie Marie Hernandez, PA-C is a medical physician assistant in Tamarac, FL with 2 years of experience. MISS Stephanie Marie Hernandez, PA-C NPI is 1710648464. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduation Year:2023

The provider's business location address is:

7421 N UNIVERSITY DR STE 206
TAMARAC, FL
ZIP 33321-953
Phone: (954) 724-7410
Fax: (954) 724-7412

The NPI 1710648464 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2022 and was last updated on 11/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA9117818FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI