MRS. TEPHANIE D SODERSTROM PA
NPI 1518140722
Physician Assistant - Medical in Panama City Beach, FL

Active since December 11, 2007
16900 FRONT BEACH RD, PANAMA CITY BEACH, FL 32413(850) 234-1898(850) 234-7670 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Tephanie D Soderstrom Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TEPHANIE D SODERSTROM PA (NPI 1518140722) is an individual medical provider in Panama City Beach, Florida, licensed in Florida (PA9101738) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1518140722
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. TEPHANIE D SODERSTROMCredential: PA
Location Address16900 FRONT BEACH RDPanama City Beach, FL 32413-2345
Mailing Address16900 Front Beach RdPanama City Beach, FL 32413-2345 · (850) 234-1898 · Fax (850) 234-7670
Fax(850) 234-7670
Sole ProprietorNo
Enumeration DateDecember 11, 2007
✔ NPI 1518140722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9101738
16900 FRONT BEACH RD, Panama City Beach, FL 32413

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
16900 FRONT BEACH RD
PANAMA CITY BEACH, FL 32413
Family Medicine
16900 FRONT BEACH RD
PANAMA CITY BEACH, FL 32413
Family Medicine
16900 FRONT BEACH RD
PANAMA CITY BEACH, FL 32413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tephanie Soderstrom's NPI number?

The NPI number for Tephanie Soderstrom is 1518140722. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Where is Tephanie Soderstrom located?

Tephanie Soderstrom practices at 16900 Front Beach Rd, Panama City Beach, FL 32413. The listed phone number is (850) 234-1898.

What is Tephanie Soderstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Tephanie Soderstrom was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.