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

Stephanie Dieffenthaller

Individual provider Medical Physician Assistant · NPI 1922643345

Stephanie Dieffenthaller is a Physician Assistant in Largo, Florida. Graduated from Univ of Central Florida, College of Medicine in 2016, 10 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
10
Trained at
Univ of Central Florida, College of Medicine
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

8787 Bryan Dairy Rd Ste 250
Largo, FL 33777-1259
Phone: (727) 391-6296
Fax: (813) 635-7940
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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 PA9112980 (FL)

Record details

NPI number1922643345
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 8, 2019
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023
Mailing address8787 Bryan Dairy Rd Ste 250, Largo, FL 33777-1259

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIV OF CENTRAL FLORIDA, COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Largo