Active NPI
Stephanie Wang, PA-C
- Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9120992
- Practice address
- 615 E Princeton St Ste 310
Orlando, FL 32803-1468 - Phone
- (407) 303-5781
- NPI assigned
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | PA9120992 | FL | Primary |
Addresses
Primary practice location
615 E Princeton St Ste 310
Orlando, FL 32803-1468
Mailing address
615 E Princeton St Ste 310
Orlando, FL 32803-1468
Phone (407) 303-5781
Other practice location 1
8 Foxtail Ct
Newark, DE 19711-4377
Phone (305) 606-0657
Other practice location 2
1305 Morgan Stanley Ave
Winter Park, FL 32789-1944
Phone (305) 606-0657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
615 E Princeton St
Suite 310
Orlando, FL 32803-1468
900 Hope Way
Altamonte Springs, FL 32714-1502
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9120992 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Physician Assistant | Current | Accepting new patients |
Locations
615 E Princeton St
Ste 310
Orlando, FL 32803
Phone (407) 303-5781
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Physician Assistant
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1558243154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E PRINCETON ST STE 310",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031468",
"telephone_number": "407-303-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 E PRINCETON ST STE 310",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031468",
"telephone_number": "407-303-5781"
}
],
"practiceLocations": [
{
"address_1": "8 Foxtail Ct",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197114377",
"country_code": "US",
"telephone_number": "305-606-0657",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1305 Morgan Stanley Ave",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327891944",
"country_code": "US",
"telephone_number": "305-606-0657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WANG",
"first_name": "STEPHANIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-23",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9120992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.