Nedrud, Stacey Michelle

Nedrud, Stacey Michelle is an individual health care provider with primary practice located at 653-1 W 8Th St Fl 2 , Jacksonville FL 32209-6511. She recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as her primary health care specialty. Nedrud, Stacey Michelle can be contacted via phone (904) 244-3689.

Contact Information

Primary practice address
653-1 W 8Th St Fl 2 Jacksonville FL 32209-6511
Phone: (904) 244-3689
Fax: (904) 244-3218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X ME149400 Florida

Profile Details

NPI number 1891113205
LBN Legal business name Nedrud, Stacey Michelle
Credentials MD, DMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2014
Last updated Jul 11th, 2021 - about 5 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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