Shaw, Stacey L
Shaw, Stacey L is an individual health care provider with primary practice located at 1690 Dunlawton Ave Ste 230 , Port Orange FL 32127-8980. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shaw, Stacey L can be contacted via phone (386) 271-2273.Contact Information
Primary practice address
1690 Dunlawton Ave Ste 230
Port Orange FL 32127-8980
Phone: (386) 271-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2878322 | Florida |
Profile Details
| NPI number | 1366922882 |
|---|---|
| LBN Legal business name | Shaw, Stacey L |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2018 |
| Last updated | Aug 14th, 2018 - about 8 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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