Individual ProviderShanna StephenPediatricsAllopathic & Osteopathic PhysiciansPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334(954) 424-7000PECOS EnrollmentBased on the most recent information from CMS, provider Shanna Stephen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1003236175Provider TypeIndividualFull NameStephen, ShannaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/16/2014Last Updated2/10/2025Contact InformationPractice LocationPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334Phone(954) 424-7000FaxUnlisted FaxMailing LocationMailing Address900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME132321FloridaProvider IdentifiersIDDescriptionIssuerID021690000DescriptionMedicaidIssuerUnlistedFlorida