Sensor, Stacey L

Sensor, Stacey L is an individual health care provider with primary practice located at 1071 S Sun Dr Ste 1043 , Lake Mary FL 32746-2573. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Sensor, Stacey L can be contacted via phone (407) 333-1616.

Contact Information

Primary practice address
1071 S Sun Dr Ste 1043 Lake Mary FL 32746-2573
Phone: (407) 333-1616
Fax: (407) 333-1617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 41075 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 5101012638 Michigan
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS13177 Florida

Profile Details

NPI number 1588658579
LBN Legal business name Sensor, Stacey L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jan 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588658579 NPPES
Florida MEDICAID 015507400

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