Provider Demographics
NPI:1508939760
Name:QUANING, STEPHEN JAMES (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:JAMES
Last Name:QUANING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6150 METROWEST BLVD STE 307
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3291
Mailing Address - Country:US
Mailing Address - Phone:407-294-1014
Mailing Address - Fax:407-294-7732
Practice Address - Street 1:500 MEMORIAL CIR STE C
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-5054
Practice Address - Country:US
Practice Address - Phone:386-615-3500
Practice Address - Fax:386-615-3505
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2024-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME81579207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL06057OtherBCBS
FL7516902001OtherCIGNA HEALTHCARE
G87280Medicare UPIN
FL7516902001OtherCIGNA HEALTHCARE