Thomas, Stacy

Thomas, Stacy is an individual health care provider with primary practice located at 120 N Richard Jackson Blvd Suite 130, Panama City FL 32407-2521. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Thomas, Stacy can be contacted via phone (850) 235-6360.

Contact Information

Primary practice address
120 N Richard Jackson Blvd Suite 130 Panama City FL 32407-2521
Phone: (850) 235-6360
Fax: (850) 235-8871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT0005631 Florida

Profile Details

NPI number 1578597019
LBN Legal business name Thomas, Stacy
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 2nd, 2013 - about 13 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 1578597019 NPPES
Florida MEDICAID 885913200

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