Waters, Stacey Laron

Waters, Stacey Laron is an sole proprietor health care provider with primary practice located at 804 Childers Loop , Brandon FL 33511-6105. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Waters, Stacey Laron can be contacted via phone (313) 587-2708.

Contact Information

Primary practice address
804 Childers Loop Brandon FL 33511-6105
Phone: (313) 587-2708
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Florida

Profile Details

NPI number 1497370993
LBN Legal business name Waters, Stacey Laron
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2020
Last updated Jun 10th, 2020 - 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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