Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Stephanie A Rivera, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1053611343

MS. Stephanie A Rivera, PHYSICIANASSISTANT is a Physician Assistant in Orlando, Florida. Qualified in 2010, 16 years ago. Practices with Southeastern Skin Cancer and Dermatology, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2010
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Practice location Address checks out

7932 W Sand Lake Rd Ste 202
Orlando, FL 32819-7299
Phone: (407) 846-7546
Fax: (321) 206-5419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PAT 9105625 (FL)

Record details

NPI number1053611343
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedNovember 2, 2010
Last updated in NPPESFebruary 28, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Southeastern Skin Cancer And Dermatology — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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