Provider Demographics
NPI:1598179467
Name:WECHSLER, STEPHANIE L (APRN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:L
Last Name:WECHSLER
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:1920 W BRANDON BLVD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4814
Practice Address - Country:US
Practice Address - Phone:813-662-3777
Practice Address - Fax:813-662-3779
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL2808132363L00000X
FLAPRN2808132363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner