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

Stephanie Crum, PA

Individual provider Interventional Pain Medicine Physician · NPI 1396406120

Stephanie Crum, PA is an Interventional Pain Medicine Physician in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

19621 Cochran Blvd
Port Charlotte, FL 33948-2070
Phone: (954) 262-1250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 9117891 (FL)

Record details

NPI number1396406120
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESOctober 3, 2023
Certification dateSeptember 7, 2023

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