Goodale, Stacey S

Goodale, Stacey S is an individual health care provider with primary practice located at 2970 University Pkwy Ste 105 , Sarasota FL 34243-2401. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Goodale, Stacey S can be contacted via phone (941) 360-1988.

Contact Information

Primary practice address
2970 University Pkwy Ste 105 Sarasota FL 34243-2401
Phone: (941) 360-1988
Fax: (941) 360-1998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT13044 Florida

Profile Details

NPI number 1063758019
LBN Legal business name Goodale, Stacey S
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2012
Last updated Jan 6th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063758019 NPPES
Florida Other Y0F56 FL BC/BS

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