Ryan, Stephanie Flaherty

Ryan, Stephanie Flaherty is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ryan, Stephanie Flaherty can be contacted via phone (352) 733-1770.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Fax: (352) 372-5164
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A85531 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME106302 Florida

Profile Details

NPI number 1255316543
LBN Legal business name Ryan, Stephanie Flaherty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Nov 24th, 2010 - about 16 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 1255316543 NPPES
Florida MEDICAID 002483000

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